Active NPI
Comport Services Inc
- Clinical Medical Laboratory
- San Jacinto, CA
National Provider Identifier
1063718559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COMPORT SERVICES INC
- Practice address
- 442 W Esplanade Ave # 106
San Jacinto, CA 92583-5006 - Phone
- (951) 537-6657
- Fax
- (951) 658-1058
- NPI assigned
- Feb 1, 2011
- Last updated
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janet L Woolsey
- Title
- Vice President
- Phone
- (951) 537-6657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
442 W Esplanade Ave # 106
San Jacinto, CA 92583-5006
Mailing address
442 W Esplanade Ave # 106
San Jacinto, CA 92583-5006
Phone (951) 537-6657
National Provider Directory
National Provider DirectoryLocations
442 W Esplanade Ave
#106
San Jacinto, CA 92583
Phone (951) 537-6657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1063718559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 W ESPLANADE AVE # 106",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925835006",
"telephone_number": "951-537-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 W ESPLANADE AVE # 106",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925835006",
"telephone_number": "951-537-6657",
"fax_number": "951-658-1058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPORT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "WOOLSEY",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "951-537-6657",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.