Central Medical Diagnostic Laboratory,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL MEDICAL DIAGNOSTIC LABORATORY,INC.

Practice address

10554 Progress Way
Suite J
Cypress, CA 90630-4724

Phone

(714) 826-6830

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Chatfield Hiserodt, M.D.NPI 1235296864

Title

President

Phone

(714) 826-6830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Chatfield Hiserodt, M.D.

  • Cytopathology Physician
  • Garden Grove, CA
  • NPI 1235296864
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144230665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 PROGRESS WAY",
            "address_2": "SUITE J",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304724",
            "telephone_number": "714-826-6830",
            "fax_number": "714-739-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 PROGRESS WAY",
            "address_2": "SUITE J",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304724",
            "telephone_number": "714-826-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL DIAGNOSTIC LABORATORY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HISERODT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHATFIELD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-826-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB64072F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia A Cartagena, DDS
• Deborah Ann Cartwright
• Leslie A Castillo
• Krizha Castrence
• Central Medical Diagnostic Laboratory, Inc (Central Medical Laboratory)
• Wendy Chaing
• Albert Jinli Chan, DDS
• Alex Chieh Chang Chan, DDS
• Angela Chan, DDS, MS
• James Chan, DMD

• Clinical Medical Laboratory in Cypress, CA
• Providers in Cypress, 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 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.