Organization Active NPI

Comport Services Inc

  • Clinical Medical Laboratory
  • San Jacinto, CA
National Provider Identifier
1063718559
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.