NPIMap

Organization Active NPI

Reymundo Nour

Doing business as Medical Lab Co.

  • Clinic/Center
  • Indio, CA
National Provider Identifier
1447598222
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CLR00343403 Issued in CA
Legal business name
REYMUNDO NOUR
Doing business as
Medical Lab Co.
Practice address
81626 US Highway 111
Indio, CA 92201-5413
Phone
(760) 600-5825
NPI assigned
Jan 29, 2013
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Reymundo NourNPI 1699176701
Title
Manager
Phone
(760) 600-5825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CLR00343403 CA Primary
Clinical Medical Laboratory 291U00000X NU
Nurse Practitioner 363L00000X CLR00343403 CA

Addresses

Primary practice location

81626 US Highway 111
Indio, CA 92201-5413

Mailing address

81626 US Highway 111
Indio, CA 92201-5413
Phone (760) 600-5825

Other names 1

  • MEDICAL LAB CO. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1447598222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81626 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015413",
            "telephone_number": "760-600-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81626 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015413",
            "telephone_number": "760-600-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYMUNDO NOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "NOUR",
        "authorized_official_first_name": "REYMUNDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-600-5825"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "CLR00343403",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "CLR00343403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL LAB CO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.