Equaltox, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLP00305415 Issued in CA

Legal business name

EQUALTOX, LLC

Practice address

550 N Golden Circle Dr Ste B
Santa Ana, CA 92705-3978

Phone

(714) 760-4804

Fax

(714) 852-3643

NPI assigned

Nov 12, 2015

Last updated

Jun 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cranford L Scott, MD

Title

Medical Director

Phone

(714) 760-4804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1598138562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N GOLDEN CIRCLE DR STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053978",
            "telephone_number": "714-760-4804",
            "fax_number": "714-852-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N GOLDEN CIRCLE DR STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053978",
            "telephone_number": "714-760-4804",
            "fax_number": "714-852-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUALTOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CRANFORD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-760-4804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLP00305415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muriel Lynn Enos, RNC.,PSY.D
• Sirena Marie Enright, LMFT 107005
• Liza Enriquez, N.P
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• Sarah Faith Ensinger Odonnell
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• Eric W Ocker (Meric Transport)
• Melisa Audrey Erick, MD

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, 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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.