PMC Laboratory Services a Medical Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA # 05D0693988 Issued in CA

Legal business name

PMC LABORATORY SERVICES A MEDICAL GROUP

Practice address

455 Grand Ave
South San Francisco, CA 94080-3635

Phone

(650) 952-2420

Fax

(650) 871-8076

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Cathy Brooks

Title

Office Manager

Phone

(650) 636-1291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1629174271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "SUITE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234114",
            "telephone_number": "415-447-6899",
            "fax_number": "415-447-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803635",
            "telephone_number": "650-952-2420",
            "fax_number": "650-871-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC LABORATORY SERVICES A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-636-1291"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLIA # 05D0693988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Pinoris, MD
• Carolina Pintor
• Sarah Pizer-Bush, LMFT
• William A. Plautz, MD
• Karen Plise, M.S.-SLP
• Valentina Polman, RN
• Thomas M. Pong, MD
• Mateus Porter, LMFT
• Elsa Portillo, DPT
• Rebecca James Posey, CCC-SLP

• Clinical Medical Laboratory in South San Francisco, CA
• Providers in South San Francisco, 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 Oct 24, 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.