Western Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 1739 Issued in CA

Legal business name

WESTERN CLINICAL LABORATORY INC

Practice address

408 Sunrise Ave
Suite 1
Roseville, CA 95661

Phone

(916) 783-5201

Fax

(916) 783-5286

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William J Keenan, MD

Title

Laboratory Director

Phone

(916) 783-5201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1437312162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 SUNRISE AVE",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-783-5201",
            "fax_number": "916-783-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SUNRISE AVE",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-783-5201",
            "fax_number": "916-783-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "916-783-5201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD PROVIDER NUMBER",
            "identifier": "ZZZ36227Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Coast Psychiatry Associates, PC
• West Oak Dermatology Inc
• Terri West, RN
• Sherrilyn Robertson Westbrook, PH.D.
• Elaine Susan Westendorf, LCSW
• Western Dental Services, Inc.
• Kristin Wetter, PT
• Laura Weubbe
• Elisa Wexler, PHYSICAL THERAPIST
• Armani Whaley, ACSW

• Clinical Medical Laboratory in Roseville, CA
• Providers in Roseville, 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 Jul 3, 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.