Liquidx Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIQUIDX LABORATORY LLC

Practice address

1403 W Oak St
Stockton, CA 95203-2607

Phone

(209) 323-4126

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Charlie Parker

Title

Director of Operations

Phone

(530) 306-2488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1639562309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 W OAK ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032607",
            "telephone_number": "209-323-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 W OAK ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032607",
            "telephone_number": "209-323-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIQUIDX LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "530-306-2488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Rose Lingenfelter
• Sandar Linn, MD
• Natalie Lintz
• Edric Mervyn Liong
• Leonard Lester Lippert Jr., CLINICIAN
• Lisa Benninger Gildea, Rdhap, Inc.
• Genevieve Susan Lisenbey, MFTI
• Rachel Candace Litfin
• Little Manila Foundation
• Christy Lynn Little

• Clinical Medical Laboratory in Stockton, CA
• Providers in Stockton, 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 Aug 24, 2015; 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.