Organization Active NPI

Borsting Laboratories, Inc

  • Histology Specialist/Technologist
  • Novato, CA
National Provider Identifier
1457318909
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Histology Specialist/TechnologistTaxonomy code 246QH0600X
License
00781957 MHT Issued in CA
Legal business name
BORSTING LABORATORIES, INC
Practice address
14 Commercial Blvd
Ste 105
Novato, CA 94949-6140
Phone
(209) 575-4575
Fax
(209) 575-4598
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
June Adams
Title
Medical Billing Rep
Phone
(209) 575-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Histology Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246QH0600X 00781957 MHT CA Primary

Addresses

Primary practice location

14 Commercial Blvd
Ste 105
Novato, CA 94949-6140

Mailing address

PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000620 CA Part B Supplier - Slide Preparation Facilities 4183700719 Practice locations: Novato, CA

National Provider Directory

National Provider Directory

Locations

14 Commercial Blvd
Ste 105
Novato, CA 94949
Phone (415) 883-1336

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1457318909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COMMERCIAL BLVD",
            "address_2": "STE 105",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496140",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORSTING LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "MEDICAL BILLING REP",
        "authorized_official_telephone_number": "209-575-4575"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "CA",
            "license": "00781957 MHT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.