Organization Active NPI

Robert L. Ray

  • Clinical Medical Laboratory
  • Merced, CA
National Provider Identifier
1891753513
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 10756 Issued in CA
Legal business name
ROBERT L. RAY
Doing business as
Central Valley Diagnostic Lab
ROBERT L. RAY
Practice address
31 W Alexander Ave
Merced, CA 95348-3404
Phone
(209) 726-3846
Fax
(209) 726-3085
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Dr. Jennifer L Mora, PH.D.
Title
Owner
Phone
(209) 617-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 10756 CA Primary

Addresses

Primary practice location

31 W Alexander Ave
Merced, CA 95348-3404

Mailing address

31 W Alexander Ave
Merced, CA 95348-3404
Phone (209) 726-3846

Other names 2

  • Central Valley Diagnostic Lab Doing business as
  • ROBERT L. RAY Doing business as

National Provider Directory

National Provider Directory

Locations

31 W Alexander Ave
Merced, CA 95348
Phone (209) 726-3846

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1891753513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483404",
            "telephone_number": "209-726-3846",
            "fax_number": "209-726-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483404",
            "telephone_number": "209-726-3846",
            "fax_number": "209-726-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-617-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Diagnostic Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROBERT L. RAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROBERT L. RAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.