Redwood Toxicology Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 3738 Issued in CA

Legal business name

REDWOOD TOXICOLOGY LABORATORY, INC.

Practice address

3650 Westwind Blvd
Santa Rosa, CA 95403-1066

Phone

(800) 255-2159

Fax

(707) 569-1442

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sheila Tran

Title

VP Finance

Phone

(800) 255-2159

Specialties & licenses 1

Addresses

Other identifiers 13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1891792875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 WESTWIND BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031066",
            "telephone_number": "800-255-2159",
            "fax_number": "707-569-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 WESTWIND BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031066",
            "telephone_number": "800-255-2159",
            "fax_number": "707-569-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD TOXICOLOGY LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "800-255-2159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 3738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149781",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB07588F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37000692",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563635",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410780000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98003262",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490625",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806553300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LB588CA",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690000004",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305900A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429190500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Redwood Regional Medical Group, Inc. (Advanced Imaging Institute)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Redwood Santa Rosa LLC
• Redwood Urology Medical Group
• Redwoods Endodontics, P.C.
• Charrise Reece
• Cassie Joelane Reed
• John B Reed, M.D.

• Clinical Medical Laboratory in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.