Organization Active NPI

Ultra Medical Lab Inc

  • Clinical Medical Laboratory
  • Torrance, CA
National Provider Identifier
1124517784
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ULTRA MEDICAL LAB INC
Practice address
3860 Del Amo Blvd Ste 402
Torrance, CA 90503-2196
Phone
(424) 404-3317
Fax
(424) 652-5520
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Jennifer Chih Fang Wang
Title
Owner
Phone
(424) 404-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3860 Del Amo Blvd Ste 402
Torrance, CA 90503-2196

Mailing address

3860 Del Amo Blvd Ste 402
Torrance, CA 90503-2196
Phone (424) 404-3317

National Provider Directory

National Provider Directory

Locations

3860 Del Amo Blvd
Ste 402
Torrance, CA 90503
Phone (424) 355-2766

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1124517784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 DEL AMO BLVD STE 402",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032196",
            "telephone_number": "424-404-3317",
            "fax_number": "424-652-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 DEL AMO BLVD STE 402",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032196",
            "telephone_number": "424-404-3317",
            "fax_number": "424-652-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MEDICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHIH FANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-404-3317"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.