Fred Smith-Histo-Cyto Slide Prep Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

246RH0600X Issued in CA

Legal business name

FRED SMITH-HISTO-CYTO SLIDE PREP LAB

Practice address

16135 Leadwell St Unit B
Van Nuys, CA 91406-3417

Phone

(818) 901-0366

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Freddie Lee Smith, MEDICAL TECH

Title

Owner-Operator

Phone

(818) 901-0366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1417161993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 LEADWELL ST UNIT B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063417",
            "telephone_number": "818-901-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 LEADWELL ST UNIT B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063417",
            "telephone_number": "818-901-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED SMITH-HISTO-CYTO SLIDE PREP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER-OPERATOR",
        "authorized_official_telephone_number": "818-901-0366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL TECH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "246RH0600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elma Franco
• Rolando Vergara Franco, D.M.D.
• Emeral Remora Franklin
• Samuel Eric Fraser, PH.D.
• Leticia Frayre, AMFT
• Erika Freddie
• Freedom Home Health Care
• Cynthia Diane Freeman-Thompson, MA, MS, MFTI
• Ivory Yvette Freeman
• Jenna Freeman

• Clinical Medical Laboratory in Van Nuys, CA
• Providers in Van Nuys, 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 May 29, 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.