Organization Active NPI

Pacific Toxicology Management, Inc

  • Clinical Medical Laboratory
  • Simi Valley, CA
National Provider Identifier
1851636450
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PACIFIC TOXICOLOGY MANAGEMENT, INC
Practice address
980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914
Phone
(805) 522-9274
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Cort Colbert
Title
BDM
Phone
(805) 522-9274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914

Mailing address

1464 Madera Rd # N182
Simi Valley, CA 93065-3077

National Provider Directory

National Provider Directory

Locations

980 Enchanted Way
Ste 211
Simi Valley, CA 93065
Phone (805) 416-1648

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1851636450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N182",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 211",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-522-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TOXICOLOGY MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "CORT",
        "authorized_official_title_or_position": "BDM",
        "authorized_official_telephone_number": "805-522-9274"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.