NPIMap

Organization Active NPI

West Coast Pathology Laboratory of Az

  • Clinical Medical Laboratory
  • Hercules, CA
National Provider Identifier
1710322441
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
20624606A Issued in AZ
Legal business name
WEST COAST PATHOLOGY LABORATORY OF AZ
Practice address
712 Alfred Nobel Dr
Hercules, CA 94547-1805
Phone
(800) 794-9737
Fax
(510) 662-5244
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
John Compagno, M.D
Title
Laboratory Director
Phone
(800) 794-9737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 20624606A AZ Primary

Addresses

Primary practice location

712 Alfred Nobel Dr
Hercules, CA 94547-1805

Mailing address

7200 W Bell Rd, BLDG E-103
Glendale, AZ 85308
Phone (800) 794-9737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1710322441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD, BLDG E-103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "800-794-9737",
            "fax_number": "510-662-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ALFRED NOBEL DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471805",
            "telephone_number": "800-794-9737",
            "fax_number": "510-662-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PATHOLOGY LABORATORY OF AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "COMPAGNO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "800-794-9737",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "20624606A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.