Abacus Business Corporation Group Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

104749-60 Issued in CA

Legal business name

ABACUS BUSINESS CORPORATION GROUP INC.

Doing business as

American Bio-Clinical Laboratories

Practice address

2730 N Main St
Los Angeles, CA 90031-3321

Phone

(323) 222-6688

Fax

(323) 222-3388

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Somali

Title

Owner

Phone

(323) 222-6688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• American Bio-Clinical Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1821091067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313321",
            "telephone_number": "323-222-6688",
            "fax_number": "323-222-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313321",
            "telephone_number": "323-222-6688",
            "fax_number": "323-222-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACUS BUSINESS CORPORATION GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SOMALI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-222-6688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "104749-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04154F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Bio-Clinical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Bio-Clinical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andrea Jenine Abad
• Frances M Abad, FNP
• Lian Stephanie Abad
• Marita Abad, PTA

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.