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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | COS 00800481 | CALIFORNIA | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | 800027363 | FLORIDA | No |
| 3 | 291U00000X | Clinical Medical Laboratory | | LCO00788 | RHODE ISLAND | No |
| 4 | 291U00000X | Clinical Medical Laboratory | | 2007 | MARYLAND | Yes |