Organization Active NPI

Mercy a. Halverson

  • Clinical Medical Laboratory
  • Fresno, CA
National Provider Identifier
1396962973
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERCY A. HALVERSON
Practice address
1817 N Helm Ave
Suite 107
Fresno, CA 93727-1631
Phone
(559) 456-2334
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mercy Ann Halverson
Title
Owner
Phone
(559) 456-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1817 N Helm Ave
Suite 107
Fresno, CA 93727-1631

Mailing address

1817 N Helm Ave
Suite 107
Fresno, CA 93727-1631
Phone (559) 456-2334

Other names 1

  • Zendner Histology Laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

1817 N Helm Ave
Ste 107
Fresno, CA 93727
Phone (559) 456-2334

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1396962973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N HELM AVE",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271631",
            "telephone_number": "559-456-2334",
            "fax_number": "559-456-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N HELM AVE",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271631",
            "telephone_number": "559-456-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY A. HALVERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-456-2334"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zendner Histology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.