Organization Active NPI

Conejo Histology Lab

  • Clinical Medical Laboratory
  • Westlake Village, CA
National Provider Identifier
1366625501
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CONEJO HISTOLOGY LAB
Practice address
31304 Via Colinas
Suite #109
Westlake Village, CA 91362-4591
Phone
(818) 991-6410
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Ge Sung ChoiNPI 1467670497
Title
Owner
Phone
(818) 991-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

31304 Via Colinas
Suite #109
Westlake Village, CA 91362-4591

Mailing address

31304 Via Colinas
Suite #109
Westlake Village, CA 91362-4591
Phone (818) 991-6410

National Provider Directory

National Provider Directory

Locations

31304 Via Colinas
Ste 109
Westlake Village, CA 91362
Phone (818) 991-6410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1366625501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31304 VIA COLINAS",
            "address_2": "SUITE #109",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624591",
            "telephone_number": "818-991-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31304 VIA COLINAS",
            "address_2": "SUITE #109",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624591",
            "telephone_number": "818-991-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEJO HISTOLOGY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "GE SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-991-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.