Organization Active NPI

Redwood Laboratory Management

  • Clinical Medical Laboratory
  • Hayward, CA
National Provider Identifier
1831494178
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REDWOOD LABORATORY MANAGEMENT
Practice address
1558 B St
Hayward, CA 94541-3052
Phone
(510) 856-4390
Fax
(800) 681-2650
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Rebecca Glover
Title
V.P. of Account Service
Phone
(510) 931-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1558 B St
Hayward, CA 94541-3052

Mailing address

22568 Mission Blvd # 414
Hayward, CA 94541-5116

National Provider Directory

National Provider Directory

Locations

1558 B St
Hayward, CA 94541
Phone (510) 750-1650

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1831494178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22568 MISSION BLVD # 414",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413052",
            "telephone_number": "510-856-4390",
            "fax_number": "800-681-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD LABORATORY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "V.P. OF ACCOUNT SERVICE",
        "authorized_official_telephone_number": "510-931-6912"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.