Novaxx Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NOVAXX INC

Doing business as

Womens Pathology Services

Practice address

2955 E Hillcrest Drive
#102
Thousand Oaks, CA 91362-3177

Phone

(805) 230-3155

Fax

(805) 230-3153

NPI assigned

Nov 25, 2006

Last updated

May 2, 2008By 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

Dean L Moyer, MD

Title

President

Phone

(805) 230-3155

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Womens Pathology Services Doing business as

Locations

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1548336308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25420",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930022277",
            "telephone_number": "805-650-5910",
            "fax_number": "805-650-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 E HILLCREST DRIVE",
            "address_2": "#102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913623177",
            "telephone_number": "805-230-3155",
            "fax_number": "805-230-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAXX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-230-3155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0969930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE FIN ADMIN",
            "identifier": "05D969930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ070482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 May 2, 2008; 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.