West Coast Clinical Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF422 Issued in CA

Legal business name

WEST COAST CLINICAL LABORATORIES, INC.

Practice address

19951 Mariner Avenue Suite 175
Torrance, CA 90503-1738

Phone

(310) 225-3190

Fax

(310) 380-7165

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steve Pierce

Title

Chief Financial Officer

Phone

(310) 225-3148

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pathology, Inc. Doing business as

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1275533085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19951 MARINER AVENUE SUITE 175",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031738",
            "telephone_number": "310-225-3190",
            "fax_number": "310-380-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19951 MARINER AVENUE SUITE 175",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031738",
            "telephone_number": "310-225-3190",
            "fax_number": "310-380-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST CLINICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "310-225-3148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0642839",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58770F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marcia Pharr West, LMFT

• Clinical Medical Laboratory in Torrance, CA
• Providers in Torrance, 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 Nov 6, 2012; 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.