Organization Active NPI

Compu-Med Systems, Inc.

  • Clinical Medical Laboratory
  • Corona, CA
National Provider Identifier
1174547756
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 11137 Issued in CA
Legal business name
COMPU-MED SYSTEMS, INC.
Practice address
110 N Lincoln Ave
Suite 102
Corona, CA 92882-1853
Phone
(951) 273-1055
Fax
(951) 273-1665
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Authorized official

Name
Miss Zarina R Sekinaeva
Title
President
Phone
(951) 273-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 11137 CA Primary

Addresses

Primary practice location

110 N Lincoln Ave
Suite 102
Corona, CA 92882-1853

Mailing address

110 N Lincoln Ave
Suite 102
Corona, CA 92882-1853
Phone (951) 273-1055

Other names 1

  • PROFESSIONAL MEDICAL LABORATORY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

1888 W 6th St
Ste G
Corona, CA 92882
Phone (909) 340-2837

110 N Lincoln Ave
Ste 102
Corona, CA 92882
Phone (951) 273-1055

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1174547756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N LINCOLN AVE",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821853",
            "telephone_number": "951-273-1055",
            "fax_number": "951-273-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LINCOLN AVE",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821853",
            "telephone_number": "951-273-1055",
            "fax_number": "951-273-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPU-MED SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "SEKINAEVA",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-273-1055",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL MEDICAL LABORATORY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; 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.