Care Bio Clinical Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CARE BIO CLINICAL CORP

Doing business as

LabCare Bio

Practice address

1631 Ventura Blvd,
Suite 888
Encino, CA 91436

Phone

(188) 789-2585

Fax

(929) 252-9176

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Wolf Hoffman

Title

Credentialing

Phone

(718) 534-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LabCare Bio Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1588713531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 888",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-789-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 VENTURA BLVD,",
            "address_2": "SUITE 888",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "188-789-2585",
            "fax_number": "929-252-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BIO CLINICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "WOLF",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "718-534-5227"
    },
    "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": "31D2220104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabCare Bio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Encino, CA
• Providers in Encino, 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 Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.