Pmdlab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11680 Issued in CA

Legal business name

PMDLAB, LLC

Practice address

4630 Northgate Blvd Ste 150
Sacramento, CA 95834-1141

Phone

(916) 776-8240

Fax

(916) 597-1379

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Peter Simmons

Title

Authorized Official

Phone

(781) 626-1212

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bakorp, L.L.C.

  dba Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • West Valley, UT
  • NPI 1679812440

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1841724895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "781-626-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 NORTHGATE BLVD STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341141",
            "telephone_number": "916-776-8240",
            "fax_number": "916-597-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Norris Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933082229",
            "country_code": "US",
            "telephone_number": "661-399-5301",
            "fax_number": "661-399-5371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PMDLAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-626-1212"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Plummer
• Robert Plummer, RN
• Ryan A Plummer, PHARM D
• Jeanette A. Plunkett, PA
• Rachel Pluto
• Sarah PO, DMD
• Janet Susan Poarch-Nugent, RN
• Nicolette M Poblete
• Edward Joseph Pochay, CMPSS
• Alyssa Simon Pociernicki

• Clinical Medical Laboratory in Sacramento, CA
• Providers in Sacramento, 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 May 6, 2021; 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.