Duz Mor Diagnostic Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF3216 Issued in CA

Legal business name

DUZ MOR DIAGNOSTIC LAB INC

Practice address

2700 W Manchester Blvd
Inglewood, CA 90305-2436

Phone

(323) 758-5161

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joe L Morehead

Title

President

Phone

(323) 971-0635

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pacific medical lab Doing business as

Locations

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881699346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-758-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-758-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUZ MOR DIAGNOSTIC LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-971-0635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ59345Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pacific medical lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felecia Lashawn Dudley, OTR
• Kertia Duga
• Vikia G Dupree
• Kathy Duron
• Shaniqua Rogers Durrett, REGISTERED NURSE
• Dva Healthcare Renal Care Inc
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• Dva Renal Healthcare Inc
• DW Medical Supply, Inc.
• Marilyn Denise Dyson, IMFT

• Clinical Medical Laboratory in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.