Microtechnical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MMM00317M Issued in CA

Legal business name

MICROTECHNICAL LABORATORY

Practice address

11175 Mountain View Ave
Suite K
Loma Linda, CA 92354-3865

Phone

(909) 478-1025

Fax

(909) 478-1476

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jon Roger Dunham, H.T. (ASCP)NPI 1427106749

Title

Owner

Phone

(909) 478-1025

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.

• Jon Dunham, HT

  • Histology Specialist/Technologist
  • Loma Linda, CA
  • NPI 1427106749
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1598899981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 MOUNTAIN VIEW AVE",
            "address_2": "SUITE K",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543865",
            "telephone_number": "909-478-1025",
            "fax_number": "909-478-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 MOUNTAIN VIEW AVE",
            "address_2": "SUITE K",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543865",
            "telephone_number": "909-478-1025",
            "fax_number": "909-478-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROTECHNICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-478-1025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.T. (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "MMM00317M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marzel J Mesias
• Carolyn Ann Meyers, MD
• Meina Michael, M.D.
• Jeffrey David Michaelson, M.D.
• Marcos Javier Michelotti, M.D.
• Brittney Migliozzi
• Peter Mikhael, RPH
• Marlene Millan, PMHNP
• Sarah Mona Millard, MS, RD, RDN
• Brenda E Miller, DDS

• Clinical Medical Laboratory in Loma Linda, CA
• Providers in Loma Linda, 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 26, 2008; 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.