MD Associates Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11773 Issued in CA

Legal business name

MD ASSOCIATES LABORATORY, INC.

Practice address

10372 Trask Ave
Suite E
Garden Grove, CA 92843-3200

Phone

(714) 539-4800

Fax

(714) 590-4888

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Minh N Pham, MT(ASCP) CLS

Title

President

Phone

(714) 539-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1700824869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 BOLSA AVE",
            "address_2": "# D44",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835951",
            "telephone_number": "714-539-4800",
            "fax_number": "714-590-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 TRASK AVE",
            "address_2": "SUITE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433200",
            "telephone_number": "714-539-4800",
            "fax_number": "714-590-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ASSOCIATES LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-539-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT(ASCP) CLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Nacole McVaugh
• Jamie Mae Meacham, BCBA
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• Marie Alyce Medeck, BEHAVIORAL THERAPIST

• Clinical Medical Laboratory in Garden Grove, CA
• Providers in Garden Grove, 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 Aug 1, 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.