Castle Medical, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CASTLE MEDICAL, LLC

Practice address

523 4TH St
Suite 110
San Rafael, CA 94901-3310

Phone

(678) 486-7240

Fax

(678) 486-7250

NPI assigned

Nov 26, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CASTLE MEDICAL, LLCAs reported in NPPES

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

Authorized official

Name

Scott Damron

Title

Owner

Phone

(678) 486-7340

Specialties & licenses 1

Addresses

Tax ID family

Castle Medical LLC4 organizations share this tax ID, including this one

Part of

Castle Medical LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Castle Medical, LLC

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1407259468
  NPD tax ID
• Castle Medical, LLC

  • Clinical Medical Laboratory
  • Smyrna, GA
  • NPI 1679970248
  NPD tax ID
• Castle Medical, LLC

  • Clinical Medical Laboratory
  • Oklahoma City, OK
  • NPI 1891191953
  NPD tax ID

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1588061154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 HIGHLANDS PKWY SE",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825142",
            "telephone_number": "678-486-7340",
            "fax_number": "678-486-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 4TH ST",
            "address_2": "SUITE 110",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013310",
            "telephone_number": "678-486-7240",
            "fax_number": "678-486-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL, LLC",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-486-7340"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Richard Cassell, LCSW
• Cecilia G Castaneda
• Liza Castaneda
• Patricia Castaneda
• Michelle Castillones, PHARMD
• Maritza Olivia Castresana
• Grecia Noely Castro
• Joseph R. Castro, M.D.
• Algeo Che Casul
• Kevin H Cates, L.AC

• Clinical Medical Laboratory in San Rafael, CA
• Providers in San Rafael, 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 Dec 2, 2014; 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.