Microcorre Diagnostic Laboratory

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

CLF1717 Issued in CA

Legal business name

MICROCORRE DIAGNOSTIC LABORATORY

Practice address

890 N Cherry St
Tulare, CA 93274-2208

Phone

(559) 686-4000

Fax

(559) 686-9432

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary A Walter, M.D.

Title

Director Owner

Phone

(559) 686-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jue-Rong Zhang, M.D.

  • Anatomic Pathology Physician
  • Tulare, CA
  • NPI 1013938760
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1679594287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742208",
            "telephone_number": "559-686-4000",
            "fax_number": "559-686-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742208",
            "telephone_number": "559-686-4000",
            "fax_number": "559-686-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROCORRE DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "559-686-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "CLF1717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ58691Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Mendoza
• Emmanuel Mensah
• Rosa Merida
• Merritt Manor, Inc. (Merritt Manor Convalescent Hospital)
• Kimberly Merten, PPS
• Robert Millan Jr.
• Autumn Rene Miller-Lyman
• Ashley S Miller, LMFT
• Jarrod Michael Mills
• Thomas Milord, ATC

• Clinical Pathology/Laboratory Medicine Physician in Tulare, CA
• Providers in Tulare, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.