Active NPI
Pasadena Laboratory Services Inc
- Anesthesiology Physician
- Pasadena, CA
National Provider Identifier
1851526495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PASADENA LABORATORY SERVICES INC
- Practice address
- 1250 E Walnut St
Ste 136
Pasadena, CA 91106-1893 - Phone
- (818) 284-1104
- NPI assigned
- May 27, 2009
- Last updated
- May 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mwata Dyson
- Title
- Ceo
- Phone
- (818) 284-1104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
1250 E Walnut St
Ste 136
Pasadena, CA 91106-1893
Mailing address
13547 Ventura Blvd
Suite 92
Sherman Oaks, CA 91423-3825
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243382400000",
"number": "1851526495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13547 VENTURA BLVD",
"address_2": "SUITE 92",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E WALNUT ST",
"address_2": "STE 136",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061893",
"telephone_number": "818-284-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASADENA LABORATORY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A",
"authorized_official_last_name": "DYSON",
"authorized_official_first_name": "MWATA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-284-1104"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- Pasadena Hospital Association, LTD. (Huntington Hospital)
- Pasadena Hosptial Association, LTD. (Huntington Memorial Hospital)
- Pasadena Hosptial Association, LTD. (Huntington Hospital)
- Pasadena Id, Inc.
- Pasadena Infectious Diseases and Tropical Medicine Inc
- Pasadena Laboratory Services, Inc
- Pasadena Laser and Surgery Center a Medical Corporation (Pasedena Laser & Surgery Center)
- Pasadena Medical Imaging LLC
- Pasadena Nephrology Corporation a Medical Group
- Pasadena Neuro Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.