Internist Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 2678 Issued in CA

Legal business name

INTERNIST LABORATORY

Doing business as

VantagePoint Laboratory Partners

Practice address

10200 Pioneer Blvd
Suite 500
Santa Fe Springs, CA 90670-6000

Phone

(562) 906-5227

Fax

(562) 906-6450

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard E. Nicholson

Title

Ceo

Phone

(562) 906-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VantagePoint Laboratory Partners Doing business as

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1396830204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 CARROLL CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211736",
            "telephone_number": "858-638-8120",
            "fax_number": "858-638-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 PIONEER BLVD",
            "address_2": "SUITE 500",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706000",
            "telephone_number": "562-906-5227",
            "fax_number": "562-906-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNIST LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-906-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 2678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0643041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VantagePoint Laboratory Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Leslie Hyde
• Crista Hynes
• Gary Iannarelli
• Nnenna Caroline Iheaka, PMHNP-BC
• Institute for Family Centered Services Inc.
• Alofagia Toetu Iosua
• Bridget Joanne Islas
• Ryan C Jackson
• Sayomi Kimora Lee Jackson
• Jaclynne Y. Magno-Choi, O.D. Inc

• Clinical Medical Laboratory in Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 6, 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.