Cogent Diagnostic Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COGENT DIAGNOSTIC LABORATORIES, INC.

Practice address

15326 Cornet St
Santa Fe Springs, CA 90670-5532

Phone

(562) 404-0626

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Kelly D McCullum

Title

President

Phone

(818) 333-7177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1447486956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CALLE NEGOCIO",
            "address_2": "SUITE R",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736202",
            "telephone_number": "949-369-9212",
            "fax_number": "949-369-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15326 CORNET ST",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705532",
            "telephone_number": "562-404-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGENT DIAGNOSTIC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCULLUM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-333-7177"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Rose Clark, RBT, BCAT
• Jennifer Antonia Claros, ASW
• Bridget Kathleen Cleary, PMHNP-BC
• Toni Cobarrubias
• Keith Cochran, M.D.
• Jessica Coghlan
• Collabracare Inc.
• Jesse Gueble Lucas Collier
• Ivelis Colon
• Comforting Services Home Health

• 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 Jun 16, 2009; 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.