Wescove Laboratory Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WESCOVE LABORATORY INC.

Practice address

1104 Wescove PL Ste C
West Covina, CA 91790-5059

Phone

(626) 338-7359

Fax

(626) 960-3932

NPI assigned

Jul 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Loera

Title

Office Manager

Phone

(626) 338-7359

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1548468879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 WESCOVE PL STE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905059",
            "telephone_number": "626-338-7359",
            "fax_number": "626-960-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 WESCOVE PL STE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905059",
            "telephone_number": "626-338-7359",
            "fax_number": "626-960-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESCOVE LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "LOERA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-338-7359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Werdesheim, M.S. BCBA
• West Covina Adult Day Services, Inc.
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• West Covina Dental Care- in Care of Miguel Montes DDS
• West Covina Dental Group
• West Covina Home Care LLC

• Clinical Medical Laboratory in West Covina, CA
• Providers in West Covina, 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 Jul 9, 2007; 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.