Integrated Pathology Medical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTEGRATED PATHOLOGY MEDICAL LABORATORY, INC.

Practice address

10842 Noel St
Suite# 110
Los Alamitos, CA 90720-2555

Phone

(714) 743-5253

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

John Chatfield Hiserodt, M.D.

Title

Medical Director

Phone

(714) 743-5253

Specialties & licenses 1

Addresses

Other names 1

• Lotus Laboratories Doing business as

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1063849933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 NOEL ST",
            "address_2": "SUITE# 110",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 NOEL ST",
            "address_2": "SUITE# 110",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202555",
            "telephone_number": "714-743-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PATHOLOGY MEDICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "HISERODT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHATFIELD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-743-5253",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catalina Ignacio, NP
• Daniel Ignatius, PT, DPT
• Infocus Pathology Group
• Innovative Psychological Solutions
• Integrated Dermatology of Los Alamitos, PC
• Susan Ishioka, DDS, MS
• Fides G Isidro, LCSW
• Stephanie Paola Islas Orgaz
• Amanda Brooke Israel, DDS
• Barry Dean Israel, DDS

• Clinical Medical Laboratory in Los Alamitos, CA
• Providers in Los Alamitos, 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 Oct 21, 2014; 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.