Blood Bank of San Bernardino & Riverside Counties

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BLOOD BANK OF SAN BERNARDINO & RIVERSIDE COUNTIES

Practice address

384 West Orange Show Road
San Bernardino, CA 92412-5729

Phone

(909) 885-6503

Fax

(909) 381-2036

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frederick B Axelrod

Title

President Ceo

Phone

(909) 885-6503

Specialties & licenses 1

Addresses

Tax ID family

Blood Bank of San Bernardino and Riverside Counties2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blood Bank of San Bernardino and Riverside Counties

  dba LifeStream

  • Blood Bank
  • San Bernardino, CA
  • NPI 1508157520
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205040300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 WEST ORANGE SHOW ROAD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924125729",
            "telephone_number": "909-885-6503",
            "fax_number": "909-381-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 WEST ORANGE SHOW ROAD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924125729",
            "telephone_number": "909-885-6503",
            "fax_number": "909-381-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD BANK OF SAN BERNARDINO & RIVERSIDE COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "909-885-6503",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Hope Hospice, Inc.
• Blessing Community Health Center
• Blessing Community Health Center
• David Robert Block, MD
• Lexus Mae Block, BCBA
• Blood Bank of San Bernardino and Riverside Counties (LifeStream)
• Blooming ABA LLC
• Blooming Ages Adhc Inc.
• April Blosser
• Blue Bird Hospice Care Inc. (Hospice)

• Clinical Medical Laboratory in San Bernardino, CA
• Providers in San Bernardino, 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.