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Contact Information

COMMUNITY HEALTH CLINICAL LABORATORY LLC
150 TEJAS PLACE
BLDG. B SUITE A
NIPOMO, CA93444
 Phone: 805-338-0460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CLINICAL LABORATORY LLC

NPI # 1679109995
LBN Legal business name COMMUNITY HEALTH CLINICAL LABORATORY LLC
Authorized official ALEXANDRE FEOKTISTOV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2020
Last updated 03/19/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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