Organization Active NPI

MGPL Inc

Doing business as Medical Group Pathology Lab

  • Clinical Medical Laboratory
  • Santa Barbara, CA
National Provider Identifier
1902972656
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0920409 Issued in CA
Legal business name
MGPL INC
Doing business as
Medical Group Pathology Lab
Practice address
4181 State Street
Santa Barbara, CA 93110
Phone
(805) 563-1800
Fax
(805) 569-6233
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Peter L Morris, MD
Title
President
Phone
(805) 563-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0920409 CA Primary

Addresses

Primary practice location

4181 State Street
Santa Barbara, CA 93110

Mailing address

PO Box 25420
Ventura, CA 93002-2277
Phone (805) 650-5910

Other identifiers 4

IdentifierTypeStateIssuer
05D0920409OtherCACLIA
ZZZ528082OtherCABLUE SHIELD OF CA
05D0920409OtherCAHEALTH CARE FIN ADMIN
LAB20409FMedicaidCA

Other names 1

  • Medical Group Pathology Lab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1902972656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25420",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930022277",
            "telephone_number": "805-650-5910",
            "fax_number": "805-650-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 STATE STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93110",
            "telephone_number": "805-563-1800",
            "fax_number": "805-569-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGPL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-563-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0920409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0920409",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ528082",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE FIN ADMIN",
            "identifier": "05D0920409",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB20409F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Group Pathology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.