Central Reference Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4032 Issued in CA

Legal business name

CENTRAL REFERENCE LABORATORY INC

Practice address

1470 S.Valley Vista Dr
100
Diamond Bar, CA 91765-3903

Phone

(909) 861-6966

Fax

(909) 860-6396

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Abbas Rajaee, M.SC.,J.D.

Title

Ceo

Phone

90908616966

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DIAMOND REFERENCE LABORATORY Doing business as

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1992866263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 S.VALLEY VISTA DR",
            "address_2": "100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653903",
            "telephone_number": "909-861-6966",
            "fax_number": "909-860-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 S.VALLEY VISTA DR",
            "address_2": "100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653903",
            "telephone_number": "909-861-6966",
            "fax_number": "909-860-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL REFERENCE LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "RAJAEE",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "90908616966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.SC.,J.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB",
            "identifier": "CLF4032",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04032F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAMOND REFERENCE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn V Catuira, DDS
• Charlene Lopez Celestino
• Central Health Mso, Inc.
• Central Health Plan of California, Inc.
• Central Medical Clinic
• Gyehyang Cha
• Blessy Chacko, SPEECH-LANGUAGE PATH
• Jose Chafart
• Champions Charter Academy
• Steve Li Chan, MD

• Clinical Medical Laboratory in Diamond Bar, CA
• Providers in Diamond Bar, 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 Dec 14, 2007; 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.