Redwood Diagnostics Associates

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 10079 Issued in CA

Legal business name

REDWOOD DIAGNOSTICS ASSOCIATES

Practice address

3798 Janes Rd Ste 12
Arcata, CA 95521-4745

Phone

(707) 826-1342

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip John Vogelsang, M.D., PH.D.

Title

Medical Director

Phone

(707) 826-1342

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1679682322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 12",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-826-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 12",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-826-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD DIAGNOSTICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "VOGELSANG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "707-826-1342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 10079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB77806F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoshanna Raybin, RN
• Terry W Raymer, MD
• Jaycee Raymond, IBCLC
• Allison Recalde
• Redwood Coast Montessori
• Redwood Radiology, Inc.
• Kasey Renard
• Graceann Margaret Reyes-Shaulis
• Christina M Reyes, MA, LMFT
• Elaine Frances Reynolds, RN

• Clinical Medical Laboratory in Arcata, CA
• Providers in Arcata, 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 Oct 24, 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.