JNV Medical Diagnostics

Primary specialty

Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X

License

00021776 Issued in CA

Legal business name

JNV MEDICAL DIAGNOSTICS

Practice address

1429 Lanfair St
Redlands, CA 92374-2632

Phone

(909) 915-4544

Fax

(909) 307-8302

NPI assigned

Jan 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Lynn Boyle, RESPIRATORY THERAPIS

Title

Owner Operator

Phone

(909) 915-4544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174502322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 LANFAIR ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742632",
            "telephone_number": "909-915-4544",
            "fax_number": "909-307-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 LANFAIR ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742632",
            "telephone_number": "909-915-4544",
            "fax_number": "909-307-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNV MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "909-915-4544",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RESPIRATORY THERAPIS"
    },
    "taxonomies": [
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "CA",
            "license": "00021776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Respiratory Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Certified Respiratory Therapist 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.