Organization Active NPI

J H Clinical Laboratory

  • Clinical Medical Laboratory
  • Inglewood, CA
National Provider Identifier
1851573471
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
J H CLINICAL LABORATORY
Practice address
2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone
(323) 750-0640
Fax
(323) 777-6446
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Ms. Irey Dolores Hilsman
Title
Owner
Phone
(323) 750-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2220 W Manchester Blvd
Inglewood, CA 90305-2514

Mailing address

PO Box 2417
Inglewood, CA 90305-0417
Phone (323) 750-0640

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ30895ZMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1851573471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903050417",
            "telephone_number": "323-750-0640",
            "fax_number": "323-777-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "323-750-0640",
            "fax_number": "323-777-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HILSMAN",
        "authorized_official_first_name": "IREY",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-750-0640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ30895Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.