Active NPI
Pmed3
- Clinical Medical Laboratory
- Azusa, CA
National Provider Identifier
1548784341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PMED3
- Practice address
- 426 N San Gabriel Ave
Azusa, CA 91702-3451 - Phone
- (626) 804-3645
- Fax
- (626) 804-3648
- NPI assigned
- Aug 2, 2017
- 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
- Dr. Steve S. Sommer, MD, PHD
- Title
- President/Medical Director
- Phone
- (626) 804-3645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
426 N San Gabriel Ave
Azusa, CA 91702-3451
Mailing address
PO Box 1329
Azusa, CA 91702-1329
Phone (626) 804-3645
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1548784341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021329",
"telephone_number": "626-804-3645",
"fax_number": "626-804-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 N SAN GABRIEL AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917023451",
"telephone_number": "626-804-3645",
"fax_number": "626-804-3648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMED3",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SOMMER",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "626-804-3645",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.