Clarient Diagnostic Services, Inc.

Primary specialty

Molecular Genetic Pathology (Pathology) PhysicianTaxonomy code 207ZP0007X

License

05D2044902 Issued in CA

Legal business name

CLARIENT DIAGNOSTIC SERVICES, INC.

Practice address

21031 Ventura Boulevard
Suite 700
Woodland Hills, CA 91364-2239

Phone

(888) 690-0043

Fax

(888) 443-4153

NPI assigned

Sep 19, 2012

Organization subpart

Yes

Parent organization

CLARIENT, INC. DBA CLARIENT DIAGNOSTIC SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael R Rodriguez

Title

Chief Financial Officer

Phone

(949) 425-5700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Clarient Diagnostic Services, Inc. Doing business as

Part of

Clarient Diag SVCS Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Martin Weiss, M.D.

  • Anatomic Pathology Physician
  • Aliso Viejo, CA
  • NPI 1356308159
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1851641641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "949-425-5700",
            "fax_number": "888-443-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BOULEVARD",
            "address_2": "SUITE 700",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642239",
            "telephone_number": "888-690-0043",
            "fax_number": "888-443-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIENT DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARIENT, INC. DBA CLARIENT DIAGNOSTIC SERVICES, INC.",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-425-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "CA",
            "license": "05D2044902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2044902",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649264300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "CLF 342801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarient Diagnostic Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natania Cipriano, LCSW
• Raisa Cipriano, DC
• Florina Kathy Cisneros
• Joanna Marie Cisneros
• City Diagnostic Medical Group, Inc.
• Mary Alden Clark
• Michelle Clark, OTR/L
• Nikketa R Clark
• Shawn Clark
• Suzanne H Clark, NP

• Molecular Genetic Pathology (Pathology) Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Molecular Genetic Pathology (Pathology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.