Histopathology Reference Laboratory Inc 01-01-94

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HISTOPATHOLOGY REFERENCE LABORATORY INC 01-01-94

Practice address

710 Alfred Nobel Dr
Hercules, CA 94547-1805

Phone

(510) 662-5200

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Christine Hill

Title

Director of Operations

Phone

(510) 662-5200

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.

• John Compagno

  • Specialist
  • Hercules, CA
  • NPI 1134125578
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659377091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945470624",
            "telephone_number": "510-662-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "510-662-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTOPATHOLOGY REFERENCE LABORATORY INC 01-01-94",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "510-662-5200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Hercules, CA
• Providers in Hercules, 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 Jul 21, 2022; 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.