Pharmtox

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHARMTOX

Practice address

980 Enchanted Way
Simi Valley, CA 93065-0911

Phone

(805) 522-9274

NPI assigned

Jan 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matt Walk

Title

MBR

Phone

(805) 522-9274

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1952548521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N-181",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-522-9274",
            "fax_number": "805-522-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650911",
            "telephone_number": "805-522-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMTOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "805-522-9274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Simi Valley, CA
• Providers in Simi Valley, 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 19, 2009; 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.