Active NPI
County of Fresno
Doing business as Department of Public Health
- Clinical Medical Laboratory
- Fresno, CA
National Provider Identifier
1265514210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COUNTY OF FRESNO
- Doing business as
- Department of Public Health
- Practice address
- 1221 Fulton Mall
Public Health Lab, Basement
Fresno, CA 93721-1915 - Phone
- (559) 600-3200
- Fax
- (559) 600-7687
- NPI assigned
- Oct 19, 2006
- Last updated
- May 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Pomaville, M.B.A., R.E.H.S.
- Title
- Director
- Phone
- (559) 600-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1221 Fulton Mall
Public Health Lab, Basement
Fresno, CA 93721-1915
Mailing address
PO Box 11867
Public Health Lab, Basement
Fresno, CA 93775-1867
Phone (559) 600-3200
Other names 1
- Department of Public Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1013717 | Fresno County Department of Public Health | Certificate of waiver | May 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
1221 Fulton St
Bsmt
Fresno, CA 93721
Phone (559) 600-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1265514210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11867",
"address_2": "PUBLIC HEALTH LAB, BASEMENT",
"city": "FRESNO",
"state": "CA",
"postal_code": "937751867",
"telephone_number": "559-600-3200",
"fax_number": "559-600-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FULTON MALL",
"address_2": "PUBLIC HEALTH LAB, BASEMENT",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211915",
"telephone_number": "559-600-3200",
"fax_number": "559-600-7687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF FRESNO",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "POMAVILLE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "559-600-3200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.B.A., R.E.H.S."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Department of Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.