Advanced Family Care Medical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLA 00322416 Issued in CA

Legal business name

ADVANCED FAMILY CARE MEDICAL LABORATORY

Practice address

1201 E Florence Ave
Los Angeles, CA 90001-2432

Phone

(323) 588-0084

Fax

(323) 617-3169

NPI assigned

Jan 31, 2014

Organization subpart

Yes

Parent organization

ADVANCED FAMILY CARE MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Ms. Lorna Mae Johnson, M.S.N., N.P., N.M.

Title

Administrator

Phone

(323) 588-0084

Specialties & licenses 1

Addresses

Part of

Advanced Family Care Medical Group Inc

Locations

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1184047748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012432",
            "telephone_number": "323-588-0084",
            "fax_number": "323-617-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012432",
            "telephone_number": "323-588-0084",
            "fax_number": "323-617-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CARE MEDICAL LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED FAMILY CARE MEDICAL GROUP",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-588-0084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.N., N.P., N.M."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLA 00322416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 31, 2014; 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.