Organization Active NPI

Comfort Style Inc.

Doing business as foothill clinical lab

  • Clinical Medical Laboratory
  • Pasadena, CA
National Provider Identifier
1972681443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 332084 Issued in CA
Legal business name
COMFORT STYLE INC.
Doing business as
foothill clinical lab
Practice address
2500 E Foothill Blvd
110
Pasadena, CA 91107-3464
Phone
(626) 584-9942
Fax
(626) 584-9963
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Agvita Selicha
Title
Vice President
Phone
(626) 712-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 332084 CA Primary

Addresses

Primary practice location

2500 E Foothill Blvd
110
Pasadena, CA 91107-3464

Mailing address

2500 E Foothill Blvd
110
Pasadena, CA 91107-3464

Other names 1

  • foothill clinical lab Doing business as

National Provider Directory

National Provider Directory

Locations

2500 E Foothill Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 584-9942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972681443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD",
            "address_2": "110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD",
            "address_2": "110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073464",
            "telephone_number": "626-584-9942",
            "fax_number": "626-584-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT STYLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELICHA",
        "authorized_official_first_name": "AGVITA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "626-712-8637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 332084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "foothill clinical lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.