Luis M Rodriguez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1090908 Issued in CA

Legal business name

LUIS M RODRIGUEZ

Practice address

420 N McKinley St
Suie 111-356
Corona, CA 92879-8099

Phone

(951) 454-7314

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Luis M Rodriguez

Title

Owner

Phone

(951) 454-7314

Specialties & licenses 1

Addresses

Other names 1

• aws lab Doing business as

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1083868624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MCKINLEY ST",
            "address_2": "SUIE 111-356",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MCKINLEY ST",
            "address_2": "SUIE 111-356",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798099",
            "telephone_number": "951-454-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS M RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-454-7314"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1090908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "aws lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Lucas
• Beth Anne Ludwig, LMFT
• Brooke Rae Lugo
• Genesis Lugo
• Skyler Lugo
• Sharon Luisjuan
• Janelle Lumati
• Lumus
• Anthony Luna
• Kathryn D Lundi

• Clinical Medical Laboratory in Corona, CA
• Providers in Corona, 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 Nov 10, 2008; 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.