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PATHNET ESOTERIC LABORATORY INSTITUTE NPI 1518062082


NPI Information

NPI: 1518062082
Provider Name: PATHNET ESOTERIC LABORATORY INSTITUTE

Other Name: PATHNET LABORATORY INSTITUTE SOUTH

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
7247 HAYVENHURST AVE
SUITE A3
VAN NUYS, CA
ZIP 91406
Phone: (818) 780-6300
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PATHNET ESOTERIC LABORATORY INSTITUTE is a clinical medical laboratory in Van Nuys, CA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PATHNET ESOTERIC LABORATORY INSTITUTE NPI is 1518062082. The provider is registered as an organization entity type.
The provider Other Name Is Pathnet Laboratory Institute South.

The provider's business location address is:

7247 HAYVENHURST AVE
SUITE A3
VAN NUYS, CA
ZIP 91406-871
Phone: (818) 780-6300
Fax: (818) 781-2243

The provider's authorized official is Alan Mitchell Kaye .
The authorized official title is President/ceo and has the following contact phone number (818) 780-6300.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 4/20/2008.


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
1291U00000XClinical Medical LaboratoryCOS800143TEXASNo
2291U00000XClinical Medical LaboratoryCLF1123CALIFORNIAYes

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
1269559OTHERTEXASOR MEDICAID
2CL8557MEDICARE PINTEXAS
30970533OTHERCALIFORNIAIOWA MEDICAID
4=========004OTHERCALIFORNIAUT MEDICAID
5269558OTHERCALIFORNIAOR MEDICAID
637903853OTHERCALIFORNIAKY MEDICAID
7LAB17440FMEDICAIDCALIFORNIA
8LB233CAMEDICAIDALABAMA
91670200MEDICAIDTEXAS
100589010OTHERTEXASIOWA MEDICAID
11=========01OTHERTEXASUT MEDICAID
1237000809OTHERTEXASKY MEDICAID

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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