Lactation Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LACTATION LAB INC.

Practice address

570 Westwood PLZ BLDG 6350
Los Angeles, CA 90095-8352

Phone

(310) 508-5265

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Canale

Title

MD/ Ceo/ Lab Director

Phone

(310) 508-5265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lactation Lab Inc. Doing business as

Locations

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1962095083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 27TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051921",
            "telephone_number": "310-998-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WESTWOOD PLZ BLDG 6350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958352",
            "telephone_number": "310-508-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACTATION LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "CANALE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MD/ CEO/ LAB DIRECTOR",
        "authorized_official_telephone_number": "310-508-5265",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619199791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lactation Lab Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter Eugene Lacroix
• Carlo Lacson, PA-C
• Stephanie May Lacson, M.D.
• Lactation and Newborn Care LLC
• Lactation Institute
• Yuneisi Lacuesta, M.A., CCC-SLP
• Lacusc Medical Center
• Charisse Garcia Lacuzong
• Celeste Demaria Lacy
• Jon Charles Lacy, PA

• 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 Feb 19, 2021; 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.