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MEDICAL LABORATORY SERVICES MEDICAL GROUP INC NPI 1427011576


NPI Information

NPI: 1427011576
Provider Name: MEDICAL LABORATORY SERVICES MEDICAL GROUP INC
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 05D0716342

Address:
25500 MEDICAL CENTER DR
MURRIETA, CA
ZIP 92562
Phone: (760) 731-3334
Get Directions

MEDICAL LABORATORY SERVICES MEDICAL GROUP INC is an anatomic pathology and clinical pathology pathology in Murrieta, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. MEDICAL LABORATORY SERVICES MEDICAL GROUP INC NPI is 1427011576. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25500 MEDICAL CENTER DR
MURRIETA, CA
ZIP 92562-965
Phone: (760) 731-3334

The provider's authorized official is Ernest Holburt .
The authorized official title is President and has the following contact phone number (760) 731-3334.

The CLIA number assigned to this NPI record is 05D0716342 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZC0500XPathologyCytopathologyNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0092911MEDICAIDCALIFORNIA
2ZZZ59089ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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