Active NPI
Borsting Laboratories, Inc
- Histology Specialist/Technologist
- Novato, CA
National Provider Identifier
1457318909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Histology Specialist/Technologist
- License
- 00781957 MHT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Histology Specialist/Technologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080324000620 | CA | Part B Supplier - Slide Preparation Facilities | 4183700719 | Practice locations: Novato, CA |
National Provider Directory
National Provider DirectoryLocations
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.