South Coast Clinical Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 10499 Issued in CA

Legal business name

SOUTH COAST CLINICAL LABORATORIES

Practice address

15326 Cornet St
Santa Fe Springs, CA 90670-5532

Phone

(310) 387-8700

NPI assigned

Jul 2, 2009

Last updated

Aug 12, 2009By 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

Mr. Robert D Suer

Title

President

Phone

(310) 387-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1215166939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MIDNIGHT LN",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295905",
            "telephone_number": "310-387-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15326 CORNET ST",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705532",
            "telephone_number": "310-387-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST CLINICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "SUER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-387-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 10499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Soto
• Elba Marina Soto, M.F.T. INTERN
• Julieana Soto
• Suzette Covarrubias Soto, LCSW
• Ian Sotomayor
• Katelyn Alexis Sparks-Jackson
• Kristen Spaulding
• Andrew Kenneth Sprenkel, OD, FAAO
• SRS-Los Nietos (SRS-Los Nietos, LLC)
• Carol Anne State

• Clinical Medical Laboratory in Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 12, 2009; 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.