Ccrmed Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

46D0992374 Issued in UT

Legal business name

CCRMED INC

Practice address

7301 Medical Center Dr
Suite 200
West Hills, CA 91307-1904

Phone

(818) 924-0525

Fax

(818) 936-0198

NPI assigned

Dec 9, 2009

Organization subpart

No

Name

Leon Tan Que Jr., M.D.

Title

President

Phone

(818) 924-0525

Tax ID family

Ccrmed Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ccrmed Inc

  • Clinical Medical Laboratory
  • Payson, UT
  • NPI 1598079154
  NPD tax ID
• Ccrmed Inc Corp

  • Clinical Medical Laboratory
  • Payson, UT
  • NPI 1881909265
  NPD tax ID

• central utah pathology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2010.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1093044604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23705 VANOWEN ST",
            "address_2": "SUITE 151",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073030",
            "telephone_number": "818-924-0525",
            "fax_number": "818-936-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-924-0525",
            "fax_number": "818-936-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-924-0525",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "UT",
            "license": "46D0992374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "central utah pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cashay Pharmacy Corporation
• Valerie Castillo, LPCC
• Angelica Castro
• Dominga Catapang
• Spiros Nick Cavelaris, D.C.
• Central California Home Health, Inc.
• Tiffany Chamberlain, DO
• Mike Chammout, FNP-C
• Tali Chang, L.A.C
• Angeline Kim Chen, PHARMD

• All providers in West Hills, CA
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.