West Coast Diagnostic Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WEST COAST DIAGNOSTIC SERVICES

Practice address

222 W 6TH St Ste 400
San Pedro, CA 90731-3345

Phone

(800) 851-2607

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Danielle O Heisser, RN

Title

Owner

Phone

(562) 972-4945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1689320939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 400",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313345",
            "telephone_number": "800-851-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 400",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313345",
            "telephone_number": "800-851-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "HEISSER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-972-4945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Pedro, CA
• Providers in San Pedro, 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 Mar 10, 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.