WHITEFIELD MEDICAL LABORATORY INC; NPI #1770778813

Contact Information

WHITEFIELD MEDICAL LABORATORY INC

1818 N ORANGEGROVE AVE
SUITE 101
POMONA, CA 91767

Phone: 909-622-3166
Fax: 909-622-8046
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiologic Technologist	247100000X

Indicates primary specialty

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NPI Profile & details for WHITEFIELD MEDICAL LABORATORY INC

NPI # 1770778813

LBN Legal business name WHITEFIELD MEDICAL LABORATORY INC

Authorized official JATIN LAXPATI - (CEO/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/12/2007

Last updated 01/28/2009 - About 17 years ago

Identifiers

CA	Medicaid	00A334740
CA	Medicaid	GR0083060

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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WHITEFIELD MEDICAL LABORATORY INC

Contact Information

Specialty

Radiologic Technologist

NPI Profile & details for WHITEFIELD MEDICAL LABORATORY INC

Reviews for WHITEFIELD MEDICAL LABORATORY INC