Orange County Physicians Reference Lab, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF334424 Issued in CA

Legal business name

ORANGE COUNTY PHYSICIANS REFERENCE LAB, INC

Practice address

720 N Tustin Ave
Suite 105
Santa Ana, CA 92705-3606

Phone

(714) 321-5747

Fax

(714) 542-1708

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Ernest Munchheimer

Title

Owner

Phone

(714) 321-5747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841324522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE",
            "address_2": "SUITE 105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "714-321-5747",
            "fax_number": "714-542-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N TUSTIN AVE",
            "address_2": "SUITE 105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053606",
            "telephone_number": "714-321-5747",
            "fax_number": "714-542-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PHYSICIANS REFERENCE LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNCHHEIMER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-321-5747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF334424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Healthcare Agency
• Orange County Hematology-Oncology Medical Group PC
• Orange County Imaging Specialists
• Orange County Multiethnic Collaborative of Community Agencies
• Orange County Pediatrics, Inc.
• Orange County Public Health Care Agency
• Orange County Radiation Oncology Medical Group
• Orange County Retina Medical Group
• Orange County School of the Arts
• Orange Gold Medical

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, 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 22, 2020; 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.