Western Diagnostic Services Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC

Practice address

1414 E Main St
Suite 102
Santa Maria, CA 93454-4806

Phone

(805) 548-1550

NPI assigned

Dec 14, 2015

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Ferguson, MDNPI 1801823067

Title

President

Phone

(805) 548-1550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Kevin L Ferguson, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Santa Maria, CA
  • NPI 1801823067
  Authorized official Same address or phone
• Michael Joseph Cascio, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Burlingame, CA
  • NPI 1497081806
  NPD
• Kurt L Lundquist, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437194131
  NPD
• Alyssa Mathew-Joseph, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Maria, CA
  • NPI 1194303750
  NPD
• Bruce D Ragsdale, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
  • NPI 1225072374
  NPD
• Ronald E Rocha, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
  • NPI 1780611533
  NPD
• Ifeoma Utseoritselaju Perkins, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Aurora, CO
  • NPI 1205127230
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1497120653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5057",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035057",
            "telephone_number": "805-242-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544806",
            "telephone_number": "805-548-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-548-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Veronica West, MFT
• Western Dental Services, Inc.
• Rebecca Denise Weston, RN, CSN
• Elise Westphal
• Thain Ho Wey
• Shauna Whalen
• Shelley Anne Wheeler, R.D.

• Clinical Medical Laboratory in Santa Maria, CA
• Providers in Santa Maria, 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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.