SHASTA MEDICAL LAB (NPI# 1093912297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093912297 |
| Entity Type | Organization |
| Organization Name | SHASTA MEDICAL LAB |
| Practice Address |
1555 East St Suite 300 Redding CA 96001-1153 |
| Practice Telephone | 5302424694 |
| Mailing Telephone | 5302424694 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | SHAWNA L SMITH (BILLING) |
| Authorized Official Telephone | 5302446716 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | P00299430 | 01 |
| CA | LAB66820F | 05 |
| Street Address |
1555 EAST ST SUITE 300 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234962 | Kent A Brusett | Surgery | 1555 East St, Ste 220, Redding, CA 96001-1153 | 2005-06-09 |
| 1609292457 | Carl Wolfer Md | Clinic/Center | 1555 East St, Redding, CA 96001-1153 | 2014-03-17 |
| 1568723138 | Redding Radiation Oncologists PC | Urology | 1555 East St, Suite 230, Redding, CA 96001-1153 | 2012-05-31 |
| 1336428283 | Aaron Stinnett Englebright | Physician Assistant | 1555 East St, Suite 100, Redding, CA 96001-1153 | 2011-08-10 |
| 1245559772 | Stephen Casey Md Inc | Internal Medicine | 1555 East St, Suite 300, Redding, CA 96001-1153 | 2010-05-24 |
| 1619296142 | Kaushik V Patel Md Inc | Internal Medicine | 1555 East St, Suite 300, Redding, CA 96001-1153 | 2010-05-24 |
| 1497073993 | Mitchell S Akman Md Inc | Internal Medicine | 1555 East St, Suite 300, Redding, CA 96001-1153 | 2010-05-07 |
| 1679752075 | B. V. Chandramouli, M..d., Inc. | Nuclear Medicine | 1555 East St, Suite 100, Redding, CA 96001-1153 | 2007-11-01 |
| 1780899591 | Louis D Bernstein | Internal Medicine | 1555 East St, Suite 300 A, Redding, CA 96001-1153 | 2007-05-14 |
| 1700921103 | Paul V. Beck | Surgery | 1555 East St, Suite 220, Redding, CA 96001-1153 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1205817822 | Laboratory Corporation of America | Clinical Medical Laboratory | 1725 Gold St, Redding, CA 96001-1820 | 2005-11-10 |
| 1093712689 | Redding Pathologists | Clinical Medical Laboratory | 2036 Railroad Ave, Redding, CA 96001-1801 | 2005-06-28 |
| 1538327127 | Dignity Health | Clinical Medical Laboratory | 2175 Rosaline Ave, Redding, CA 96001-2509 | 2008-05-30 |
| 1063547131 | Shasta County Public Health Laboratory | Clinical Medical Laboratory | 2650 Breslauer Way, Redding, CA 96001-4246 | 2007-02-22 |
| 1609915131 | Unilab Corporation | Clinical Medical Laboratory | 2510 Airpark Dr, Ste 202, Redding, CA 96001-2449 | 2007-02-05 |
| 1538276852 | Court Street Imaging | Clinical Medical Laboratory | 1755 Court St, Redding, CA 96001-1721 | 2006-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.