Chien Nguyen

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

ME0054795 Issued in FL

Legal business name

CHIEN NGUYEN

Practice address

151 East Redstone Avenue
Crestview, FL 32539

Phone

(850) 682-5332

Fax

(850) 683-5333

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Lee Thames

Title

Billing Manager

Phone

(850) 682-5332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1699048181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 EAST REDSTONE AVENUE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32539",
            "telephone_number": "850-682-5332",
            "fax_number": "850-683-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EAST REDSTONE AVENUE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32539",
            "telephone_number": "850-682-5332",
            "fax_number": "850-683-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEN NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-682-5332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME0054795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Crestview, FL
• Providers in Crestview, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.