Brown Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2051152 Issued in CA

Legal business name

BROWN LABORATORY

Practice address

10289 Bannockburn Dr
Los Angeles, CA 90064-4706

Phone

(661) 321-6173

Fax

(661) 327-3395

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. William Alonzo Ganong

Title

Director

Phone

(661) 321-6173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1922346758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "#438",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "661-321-6173",
            "fax_number": "661-327-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10289 BANNOCKBURN DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644706",
            "telephone_number": "661-321-6173",
            "fax_number": "661-327-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "GANONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-321-6173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2051152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne S Brower, RN, MSN, FNP-C
• Brown and Pipkins Corporation
• Brown and Pipkins Corporation
• Karesha Brown Crook
• Elisa Brown Fuller, PHD
• Joetta Brown-Higgins, MSW
• Brown-Hill Medical Group, Inc.
• Brown-Hill Medical Group, Inc.
• Jessica Lynn Brown-Mason, MBA
• Tamirah Brown-Rush

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 29, 2013; 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.