Whitefield Medical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA 05D0716660 Issued in CA

Legal business name

WHITEFIELD MEDICAL LABORATORY INC

Practice address

764 Indigo Court
#A
Pomona, CA 91767

Phone

(909) 625-2114

Fax

(909) 625-7735

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jatin Laxpati

Title

Chief Executive Officer

Phone

(909) 625-2114

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.

• Edward M Lai, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Alhambra, CA
  • NPI 1639163165
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1699861815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 INDIGO COURT",
            "address_2": "#A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-625-2114",
            "fax_number": "909-625-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 INDIGO COURT",
            "address_2": "#A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-625-2114",
            "fax_number": "909-625-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFIELD MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "LAXPATI",
        "authorized_official_first_name": "JATIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-625-2114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLIA 05D0716660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04252F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrison H White
• Jennis White
• Kaya Janine White
• Stephanie Lynn White, D.O.
• Jennifer Nicole Whited, MSW
• Whitefield Medical Laboratory Inc
• Hallie Adeline Whitmore
• Helena Whitney
• Kellie Kristina Whittet, B.S. PSCYHOLOGY
• Alexandra Karras Whittle

• Clinical Medical Laboratory in Pomona, CA
• Providers in Pomona, 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 Apr 27, 2009; 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.