Organization Active NPI

Physicians Laboratories, Inc

  • Clinical Medical Laboratory
  • Reno, NV
National Provider Identifier
1649367368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHYSICIANS LABORATORIES, INC
Practice address
4900 Mill St Ste 10a
Reno, NV 89502-2391
Phone
(775) 856-3667
Fax
(775) 856-3668
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pacita Manalo, MD
Title
Owner
Phone
(775) 856-3667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NV Primary

Addresses

Primary practice location

4900 Mill St Ste 10a
Reno, NV 89502-2391

Mailing address

4900 Mill St Ste 10a
Reno, NV 89502-2391
Phone (775) 856-3667

National Provider Directory

National Provider Directory

Locations

4900 Mill St
Ste 10A
Reno, NV 89502
Phone (775) 856-3667

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649367368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MILL ST STE 10A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022391",
            "telephone_number": "775-856-3667",
            "fax_number": "775-856-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MILL ST STE 10A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022391",
            "telephone_number": "775-856-3667",
            "fax_number": "775-856-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "PACITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-856-3667",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.