Active NPI
J H Clinical Laboratory
- Clinical Medical Laboratory
- Inglewood, CA
National Provider Identifier
1851573471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ30895Z | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.