Western Health Sciences Medical Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4149 Issued in CA

Legal business name

WESTERN HEALTH SCIENCES MEDICAL LAB

Practice address

21018 Osborne St Ste 3
Canoga Park, CA 91304-1736

Phone

(818) 773-9771

Fax

(818) 773-9814

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Vance

Title

Director

Phone

(818) 773-9771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366587503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 OSBORNE ST STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041736",
            "telephone_number": "818-773-9771",
            "fax_number": "818-773-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21018 OSBORNE ST STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041736",
            "telephone_number": "818-773-9771",
            "fax_number": "818-773-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTH SCIENCES MEDICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-773-9771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04149F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Canoga Park, CA
• Providers in Canoga Park, 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 22, 2020; 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.