Redwood Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REDWOOD LABORATORY

Practice address

2440 23Rd St Ste C
Eureka, CA 95501-3203

Phone

(707) 798-6214

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Wahidullah Wahidullah, MD

Title

Owner

Phone

(707) 798-6214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashwin Narasimhan, M.D.

  • Nephrology Specialist/Technologist
  • Indianapolis, IN
  • NPI 1548241912
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1568092765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE C",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-798-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE C",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-798-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "WAHIDULLAH",
        "authorized_official_first_name": "WAHIDULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-798-6214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redwood Community Action Agency (Family Services Program - Community Services Division)
• Redwood Community Services, Inc
• Redwood Community Services, Inc.
• Redwood Community Services, Inc.
• Redwood Family Practice Inc
• Redwood Pharmacies
• Redwood Pharmacies
• Redwood Pharmacies
• Redwood Pharmacies
• Redwood Podiatry Group

• Clinical Medical Laboratory in Eureka, CA
• Providers in Eureka, 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 Jan 16, 2020; 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.