Organization Active NPI

Miller Lab Services

  • Clinical Medical Laboratory
  • Stockton, CA
National Provider Identifier
1326907924
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MILLER LAB SERVICES
Practice address
306 E Main St Ste 202
Stockton, CA 95202-2908
Phone
(209) 616-8409
Fax
(209) 266-3694
NPI assigned
Jan 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Tiffany Jimenez, DO
Title
Owner
Phone
(209) 616-8409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

306 E Main St Ste 202
Stockton, CA 95202-2908

Mailing address

306 E Main St Ste 202
Stockton, CA 95202-2908
Phone (209) 616-8409

National Provider Directory

National Provider Directory

Locations

306 E Main St
Ste 202
Stockton, CA 95202
Phone (209) 616-8409

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1326907924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 202",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022908",
            "telephone_number": "209-616-8409",
            "fax_number": "209-266-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST STE 202",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022908",
            "telephone_number": "209-616-8409",
            "fax_number": "209-266-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-616-8409",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.