Aw Cytohistology Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

A50093 Issued in CA

Legal business name

AW CYTOHISTOLOGY LAB

Practice address

1700 C St
Bakersfield, CA 93301-3616

Phone

(661) 325-2640

Fax

(661) 327-0816

NPI assigned

Apr 24, 2007

Last updated

Sep 4, 2008By 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

Agnes Y Wu, M.D.NPI 1144256009

Title

Physician

Phone

(661) 325-2640

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Agnes Y. Wu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bakersfield, CA
  • NPI 1144256009
  Authorized official Same address or phone
• Shyi-Tang Shiue, M.D.

  • Pulmonary Disease Physician
  • Bakersfield, CA
  • NPI 1538127899
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1194944900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 ZENAIDA WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933112928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 C ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013616",
            "telephone_number": "661-325-2640",
            "fax_number": "661-327-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW CYTOHISTOLOGY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "661-325-2640",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "A50093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A500931",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB16538F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Avila, CD, HCHI
• Oscar Avila
• Yuliana Nallely Avila
• Jesus Avina
• Avocare Marriage & Family Therapy Inc
• Aw Medical Supplies LLC
• Aw Pathology Medical Group, Inc.
• Mokom Awa Alfred
• Nagy Sadek Awadalla, M.D.
• Awakened Consulting Inc.

• Clinical Medical Laboratory in Bakersfield, CA
• Providers in Bakersfield, 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 Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.