Prime Diagnostics Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1019911 Issued in CA

Legal business name

PRIME DIAGNOSTICS LABORATORIES

Practice address

27825 Fremont CT
#14
Valencia, CA 91355-0989

Phone

(661) 253-1173

Fax

(661) 253-1174

NPI assigned

Aug 30, 2006

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Bragasin

Title

Owner

Phone

(661) 253-1173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1922118975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72825 FREMONT CT.,",
            "address_2": "# 14",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551143",
            "telephone_number": "661-253-1173",
            "fax_number": "661-253-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27825 FREMONT CT",
            "address_2": "#14",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550989",
            "telephone_number": "661-253-1173",
            "fax_number": "661-253-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSTICS LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "BRAGASIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-253-1173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1019911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Powers, FNP
• Premier Hospice & Homecare
• Joel Price
• Savannah Paige Price
• John Joseph Prieto, CERTIFIED COUNSELOR
• Prime Mobile Physicians Network, Inc
• Primecare Health Center Inc.
• Primrose Home Health Inc
• Joy M Prince
• Progressive Steps, Inc.

• Clinical Medical Laboratory in Valencia, CA
• Providers in Valencia, 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 Jun 3, 2011; 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.