Maharlika Medical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4565 Issued in CA

Legal business name

MAHARLIKA MEDICAL LABORATORY, INC.

Practice address

1350 O St Ste 101
Fresno, CA 93721-1828

Phone

(559) 233-6242

Fax

(559) 233-6243

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Johnnie Lewis Adams, MS

Title

Chairman

Phone

(559) 233-6242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1326041690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937182032",
            "telephone_number": "559-233-6242",
            "fax_number": "559-233-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-233-6242",
            "fax_number": "559-233-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHARLIKA MEDICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "559-233-6242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58481F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanwar Tejinder Paul Singh Mahal, M.D.
• Shanan Mahal, MD
• Mirielvy Marina Mahan, OTR/L
• Cristal Maharaj
• Dashmeet Singh Maharaj, MD
• Maria Angela Maher
• Chitra Mahesh, AMFT
• Devi Mahindra
• Sinna Mahjoob
• Farhad Sabet Mahjouri, MD, MPH

• Clinical Medical Laboratory in Fresno, CA
• Providers in Fresno, 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 Sep 25, 2007; 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.