Active NPI
Adj Corporation
Doing business as West Pacific Medical Laboratory
- Clinical Medical Laboratory
- Santa Fe Springs, CA
National Provider Identifier
1124050380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF 10371
- Legal business name
- ADJ CORPORATION
- Doing business as
- West Pacific Medical Laboratory
- Practice address
- 10200 Pioneer Blvd
Suite 500
Santa Fe Springs, CA 90670-6000 - Phone
- (562) 906-5227
- Fax
- (562) 906-6450
- NPI assigned
- Jul 7, 2006
- Last updated
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Endoso
- Title
- President
- Phone
- (562) 906-5227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF 10371 | CA | Primary |
Addresses
Primary practice location
10200 Pioneer Blvd
Suite 500
Santa Fe Springs, CA 90670-6000
Mailing address
PO Box 2339
Santa Fe Springs, CA 90670-0339
Phone (562) 906-5227
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0866459 | Other | CA | CLIA NUMBER |
| LAB76459F | Medicaid | CA | |
| CLF 10371 | Other | CA | CLINICAL LABORATORY LIC |
Other names 1
- WEST PACIFIC MEDICAL LABORATORY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1124050380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2339",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906700339",
"telephone_number": "562-906-5227",
"fax_number": "562-906-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 PIONEER BLVD",
"address_2": "SUITE 500",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706000",
"telephone_number": "562-906-5227",
"fax_number": "562-906-6450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADJ CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "ENDOSO",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-906-5227"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF 10371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "05D0866459",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB76459F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL LABORATORY LIC",
"identifier": "CLF 10371",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEST PACIFIC MEDICAL LABORATORY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.