Anthony Bledin M.D. Inc
Organization Active NPI Clinical Medical Laboratory · La Mesa, CA
NPI 1245095892 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1245095892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ANTHONY BLEDIN M.D. INC
- Practice address
- 8881 Fletcher Pkwy Ste 102
La Mesa, CA 91942-3129 - Phone
- (858) 723-7540
- Fax
- (858) 723-7541
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony G Bledin, M.D.
- Title
- Radiologist
- Phone
- (805) 988-1111
Corporate family (same tax ID) 9
Practitioners 1
-
Anthony G Bledin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2325190 | Infusion for Health la Mesa | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
- Tax ID family
- Anthony Bledin MD Inc
Locations
8881 Fletcher Pkwy
Ste 102
La Mesa, CA 91942
Phone (619) 461-1830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
8881 Fletcher Pkwy Ste 102
La Mesa, CA 91942-3129
Mailing address
1851 Holser Walk Ste 220
Oxnard, CA 93036-2626
Phone (805) 988-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C421240 | Medicaid | CA |
Other names
- La Mesa Diagnostic Radiology
Other providers in La Mesa, CA
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- Anitha R Garlapati MD Inc
- Stacey Annand
- Anoushiravan Boghairi MD
- Anthony B Hawkins DC Inc
- Anthony P Varboncoeur DDC Inc & Cortland S Caldemeyer DDS Apc GP
- Tiago Barcelos Antonio
- Robert Antonucci
- Apex Recovery, LLC
- Apex Recovery, LLC
All providers in La Mesa, CA · Clinical Medical Laboratory in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.