Careone Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAREONE LABORATORY, LLC

Practice address

12980 Frederick St
Suite D
Moreno Valley, CA 92553-5263

Phone

(951) 243-2600

Fax

(951) 243-6654

NPI assigned

Mar 2, 2008

Last updated

Apr 16, 2008By 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

Dr. Antonio A. Tan, M.D.NPI 1134277569

Title

Laboratory Director

Phone

(951) 243-2600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio A. Tan, M.D.

  • Internal Medicine Physician
  • Moreno Valley, CA
  • NPI 1134277569
  NPD (past) Authorized official

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1316117781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8227",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925528227",
            "telephone_number": "951-243-2600",
            "fax_number": "951-243-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST",
            "address_2": "SUITE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-243-2600",
            "fax_number": "951-243-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREONE LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-02",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "951-243-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Geselle Carbajal
• Lourdes Carbajal
• Shannon Marie Valdez Carbajal, M.D.
• Tanya Patricia Lopez Carcamo, LMFT
• Cardiovascular Consultants of the Inland Valley
• Caring Conversations Marriage and Family Therapy Inc
• Carlos Rivas D.D.S.,Inc.
• Lisette Caro
• Weldon Allen Carpenter III
• Whitney Martina Carrigan, ATC

• Clinical Medical Laboratory in Moreno Valley, CA
• Providers in Moreno Valley, 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 Apr 16, 2008; 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.