C&K Lab Services, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11198 Issued in CA

Legal business name

C&K LAB SERVICES, INC.

Doing business as

BIO TECH CLINICAL Services, Inc.

Practice address

3923 Waring Road
Suite C
Oceanside, CA 92056-4457

Phone

(760) 724-9231

Fax

(760) 724-0670

NPI assigned

Jul 22, 2006

Last updated

Aug 28, 2012By 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

Richard E. Nicholson

Title

Ceo/President

Phone

(562) 906-5227

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• BIO TECH CLINICAL Services, Inc. Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1346261518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 WARING ROAD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564457",
            "telephone_number": "760-724-9231",
            "fax_number": "760-724-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 WARING ROAD",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564457",
            "telephone_number": "760-724-9231",
            "fax_number": "760-724-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&K LAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-906-5227"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11198",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "246200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY LICENSE",
            "identifier": "CLF 11198",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY LICENSE",
            "identifier": "CLF11198",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB15223F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D0915223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIO TECH CLINICAL Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian B Butler, MD
• Bonnie Lorraine Butterworth, LVN
• Michelle F. Buxton, PA-C
• Roland Masayuki Buyama, D.D.S
• Jack Vincent Byrd
• Aida Caballero
• Jacqueline Cabell, MA
• Delanie Cablay, DPT
• David Cagua, SFIDC
• Margaret M Cahill

• Clinical Medical Laboratory in Oceanside, CA
• Providers in Oceanside, 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 Aug 28, 2012; 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.