CMC Pulmonary Lab

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

G32106 Issued in CA

Legal business name

CMC PULMONARY LAB

Practice address

1401 S Grand Ave
Los Angeles, CA 90015-3010

Phone

(213) 742-0910

Fax

(213) 742-6631

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Robert Rothbart, MD

Title

President

Phone

(213) 742-0910

Specialties & licenses 2

Addresses

Tax ID family

CMC Pulmonary Lab2 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.

• CMC Pulmonary Physiology Laboratory

  • Physiological Laboratory
  • Los Angeles, CA
  • NPI 1740211978
  NPD tax ID

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285654640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S FLOWER ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072689",
            "telephone_number": "213-742-0910",
            "fax_number": "213-742-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-742-0910",
            "fax_number": "213-742-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC PULMONARY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHBART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-742-0910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "A29402",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "G32106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clover Care Pharmacy Inc
• David E Clower
• CMC Enterprise Inc
• CMC Enterprise Inc
• CMC Enterprise, Inc.
• CMC Pulmonary Physiology Laboratory
• Cmcla Pathology Medical Group
• CMMP Clinica de Ojos
• CN Health Inc
• CN Horizons, Inc.

• Physiological Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physiological 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.