Organization Active NPI

United Clinical Laboratory Inc

  • Clinical Medical Laboratory
  • Monterey Park, CA
National Provider Identifier
1871877977
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UNITED CLINICAL LABORATORY INC
Practice address
2168 S Atlantic Blvd
Suite 475
Monterey Park, CA 91754-6839
Phone
(562) 450-9756
Fax
(909) 803-9790
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mr. Conrad Robert Felix
Title
Ceo / President
Phone
(562) 450-9756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2168 S Atlantic Blvd
Suite 475
Monterey Park, CA 91754-6839

Mailing address

2168 S Atlantic Blvd
Suite 475
Monterey Park, CA 91754-6839
Phone (562) 450-9756

National Provider Directory

National Provider Directory

Locations

2168 S Atlantic Blvd
Ste 475
Monterey Park, CA 91754
Phone (562) 450-9756

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1871877977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 S ATLANTIC BLVD",
            "address_2": "SUITE 475",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546839",
            "telephone_number": "562-450-9756",
            "fax_number": "909-803-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 S ATLANTIC BLVD",
            "address_2": "SUITE 475",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546839",
            "telephone_number": "562-450-9756",
            "fax_number": "909-803-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "562-450-9756",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.