Organization Active NPI

Laboratory Managment Specialist

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1518200971
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LABORATORY MANAGMENT SPECIALIST
Practice address
11640 Warner Ave
1St Floor
Fountain Valley, CA 92708-2513
Phone
(714) 729-4522
Fax
(866) 678-5321
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dee Guyette
Title
Supervisior
Phone
(714) 729-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11640 Warner Ave
1St Floor
Fountain Valley, CA 92708-2513

Mailing address

11640 Warner Ave
1St Floor
Fountain Valley, CA 92708-2513
Phone (714) 729-4522

National Provider Directory

National Provider Directory

Locations

11640 Warner Ave
#1
Fountain Valley, CA 92708
Phone (714) 729-4522

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1518200971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 WARNER AVE",
            "address_2": "1ST FLOOR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082513",
            "telephone_number": "714-729-4522",
            "fax_number": "866-678-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 WARNER AVE",
            "address_2": "1ST FLOOR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082513",
            "telephone_number": "714-729-4522",
            "fax_number": "866-678-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY MANAGMENT SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "GUYETTE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "SUPERVISIOR",
        "authorized_official_telephone_number": "714-729-4522"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.