NPIMap

Organization Active NPI

Kings County Public Health Laboratory

Doing business as County of Kings

  • Clinical Medical Laboratory
  • Hanford, CA
National Provider Identifier
1366577025
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0643454 Issued in CA
Legal business name
KINGS COUNTY PUBLIC HEALTH LABORATORY
Doing business as
County of Kings
Practice address
330 Campus Dr
Hanford, CA 93230-4375
Phone
(559) 584-1401
Fax
(559) 583-8178
NPI assigned
Feb 22, 2007
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Maria L Alvarez
Title
Medical Biller 1
Phone
(559) 852-4517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0643454 CA Primary

Addresses

Primary practice location

330 Campus Dr
Hanford, CA 93230-4375

Mailing address

330 Campus Dr
Hanford, CA 93230-4375
Phone (559) 584-1401

Other identifiers 3

IdentifierTypeStateIssuer
05D0643454OtherCACLIA
1578822797OtherCANPI
LAB43454FMedicaidCA

Other names 1

  • County of Kings Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2174374Care Atc County of Kings330 Campus Drive Building 5, Hanford, CA 93230Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kings County Department of Public Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1366577025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CAMPUS DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304375",
            "telephone_number": "559-584-1401",
            "fax_number": "559-583-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CAMPUS DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304375",
            "telephone_number": "559-584-1401",
            "fax_number": "559-583-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS COUNTY PUBLIC HEALTH LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL BILLER 1",
        "authorized_official_telephone_number": "559-852-4517"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0643454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0643454",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578822797",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB43454F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Kings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.