Organization Active NPI

Pan American Laboratory Inc

  • Clinical Medical Laboratory
  • Norwalk, CA
National Provider Identifier
1114096740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0500915924 Issued in CA
Legal business name
PAN AMERICAN LABORATORY INC
Practice address
10656 E Rosecrans Ave
Suite D
Norwalk, CA 90650
Phone
(562) 929-0007
Fax
(562) 929-0505
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Javier Rojo, MD CLS
Title
Owner
Phone
(562) 929-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0500915924 CA Primary

Addresses

Primary practice location

10656 E Rosecrans Ave
Suite D
Norwalk, CA 90650

Mailing address

10656 E Rosecrans Ave
Suite D
Norwalk, CA 90650
Phone (562) 929-0007

National Provider Directory

National Provider Directory

Locations

10656 Rosecrans Ave
Ste D
Norwalk, CA 90650
Phone (562) 622-2727

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114096740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 E ROSECRANS AVE",
            "address_2": "SUITE D",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-929-0007",
            "fax_number": "562-929-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10656 E ROSECRANS AVE",
            "address_2": "SUITE D",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-929-0007",
            "fax_number": "562-929-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROJO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-929-0007",
        "authorized_official_credential": "MD CLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "0500915924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.