CCL Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF10499 Issued in CA

Legal business name

CCL LABORATORIES INC

Practice address

333 N Santa Anita Ave
Suite 10
Arcadia, CA 91006-2839

Phone

(626) 821-6508

Fax

(626) 821-6428

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bernadette J Villanueva, R.N.

Title

President

Phone

(626) 821-6508

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1619175312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ANITA AVE",
            "address_2": "SUITE 10",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ANITA AVE",
            "address_2": "SUITE 10",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062839",
            "telephone_number": "626-821-6508",
            "fax_number": "626-821-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-821-6508",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB73183F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda C Castro
• Mindelynn Castro
• Rachael Diana Castro
• Nadja Schlabitz Catano, M.A., LMFT, IBCLC
• Vanessa Caulfield, MOT, OTR/L
• Cedar Home Health,Inc.
• Bernardine Andrea Celoni, MD
• Delong Cen, PHARMD
• Center for Advanced Dermatology Inc.
• Timothy Gerard Centola, PT

• Clinical Medical Laboratory in Arcadia, CA
• Providers in Arcadia, 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 Nov 15, 2007; 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.