Alfred J Reynaud

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF2773 Issued in CA

Legal business name

ALFRED J REYNAUD

Doing business as

Medical Specialty Laboratory

Practice address

2929 Summit St
#208
Oakland, CA 94609

Phone

(510) 839-4829

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Alfred J Reynaud

Title

Owner

Phone

(510) 839-4829

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Specialty Laboratory Doing business as

Locations

Practitioners 1

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

• Roderick Snow, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Francisco, CA
  • NPI 1386717254
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891907150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27146",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94127",
            "telephone_number": "510-839-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SUMMIT ST",
            "address_2": "#208",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-839-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED J REYNAUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNAUD",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-839-4829"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ59174Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Specialty Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Alferez
• Norma Alferez
• Alma Alfie
• Adelaida C Alfiler, MD
• Marilyn C Alford, PT
• Mahlika Alfresco
• Bernadette Marie Algar
• Eyad Algaradi
• Fatoan Alghaithi
• Hanadi Alhallaq

• Clinical Medical Laboratory in Oakland, CA
• Providers in Oakland, 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.