G&H Diagnostic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

G&H DIAGNOSTIC, INC.

Practice address

1150 N Mountain Ave
Suite 210
Upland, CA 91786-3668

Phone

(909) 576-6248

NPI assigned

Jan 5, 2010

Last updated

Feb 4, 2010By 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

Mr. Gary D. Lewis

Title

President

Phone

(909) 576-6248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1316277825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N MOUNTAIN AVE",
            "address_2": "SUITE 210",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863668",
            "telephone_number": "909-576-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N MOUNTAIN AVE",
            "address_2": "SUITE 210",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863668",
            "telephone_number": "909-576-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&H DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-576-6248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.