Shasta County Public Health Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SHASTA COUNTY PUBLIC HEALTH LABORATORY

Practice address

2650 Breslauer Way
Redding, CA 96001-4246

Phone

(530) 225-5072

Fax

(530) 225-5061

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donnell Ewert

Title

Director of Public Health

Phone

(530) 245-6296

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1063547131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-225-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-225-5072",
            "fax_number": "530-225-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA COUNTY PUBLIC HEALTH LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "DONNELL",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "530-245-6296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58363F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shasta County Alcohol and Drug Programs
• Shasta County Child Abuse Prevention Coordinating Council
• Shasta County in Home Services
• Shasta County Office of Education
• Shasta County Public Health
• Shasta County Rehab LLC
• Shasta County Young Men'S Christian Association
• Shasta Critical Care Specialists Medical Clinic, Inc.
• Shasta Emergency Medical Associates Inc
• Shasta Emergency Medical Group

• Clinical Medical Laboratory in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.