Oc Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF339261 Issued in CA

Legal business name

OC CLINICAL LABORATORY INC

Practice address

2301 W Lincoln Ave Ste 220
Anaheim, CA 92801-5135

Phone

(714) 635-0100

Fax

(714) 635-4300

NPI assigned

Jan 15, 2010

Last updated

May 6, 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. Avetis Amalyan

Title

President

Phone

(714) 635-0100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1942531926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WEST LINCOLN AVE",
            "address_2": "SUITE # 220",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135",
            "telephone_number": "714-635-0100",
            "fax_number": "714-635-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE STE 220",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135",
            "telephone_number": "714-635-0100",
            "fax_number": "714-635-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "AMALYAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-635-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "339261",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF339261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Anaheim, CA
• Providers in Anaheim, 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 May 6, 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.