Organization Active NPI

Laboratory Practice, Inc.

  • Clinical Medical Laboratory
  • Westminster, CA
National Provider Identifier
1679546907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
LAB58511F Issued in CA
Legal business name
LABORATORY PRACTICE, INC.
Practice address
10301 Bolsa Ave
Suite 204
Westminster, CA 92683-6784
Phone
(714) 775-9000
Fax
(714) 531-1861
NPI assigned
Feb 8, 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
Dr. Parviz Bahadori, PHD
Title
Director
Phone
(714) 775-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X LAB58511F CA Primary

Addresses

Primary practice location

10301 Bolsa Ave
Suite 204
Westminster, CA 92683-6784

Mailing address

10301 Bolsa Ave
Suite 204
Westminster, CA 92683-6784
Phone (714) 775-9000

National Provider Directory

National Provider Directory

Locations

10301 Bolsa Ave
Ste 204
Westminster, CA 92683
Phone (714) 418-2150

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679546907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "714-775-9000",
            "fax_number": "714-531-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BOLSA AVE",
            "address_2": "SUITE 204",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836784",
            "telephone_number": "714-775-9000",
            "fax_number": "714-531-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAHADORI",
        "authorized_official_first_name": "PARVIZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-775-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "LAB58511F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

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.