TRI - STATE TOXICOLOGY , LLC (NPI# 1124367099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124367099 |
| Entity Type | Organization |
| Organization Name | TRI - STATE TOXICOLOGY , LLC |
| Other Organization Name | TRI - STATE TOXICOLOGY , LLC |
| Practice Address |
8863 Greenback Ln Suite # 230 Orangevale CA 95662-4059 |
| Mailing Address |
14615 San Pedro Ave # 240 San Antonio TX 78232-4321 |
| Practice Telephone | 8005570203 |
| Practice Fax Number | 8775140188 |
| Mailing Telephone | 8005570203 |
| Mailing Fax Number | 8775140188 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | DR. JOHN PAUL HUFF (OWNER) |
| Authorized Official Telephone | 2104040325 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI - STATE TOXICOLOGY , LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | J1691 | TX | Laboratories |
| Other Name | Type Code |
|---|---|
| TRI - STATE TOXICOLOGY , LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003155979 | Tri - State Toxicology, LLC | Clinical Medical Laboratory | 424 W Nakoma St, San Antonio, TX 78216-2623 | 2013-02-12 |
| Street Address |
8863 GREENBACK LN SUITE # 230 |
| City | ORANGEVALE |
| State | CA |
| Zip Code | 95662-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027338 | Susan Kaefer | Physical Therapist | 9525 Tremont Court, Orangevale, CA 95662 | 2018-03-22 |
| 1568918209 | William Parker Henderson | Specialist/Technologist | 9201 Madison Ave #235, Orangevale, CA 95662 | 2016-09-01 |
| 1558665745 | Gary C White Optometric Corporation | Optometrist | 8836 Greenback Lane Ste F, Orangevale, CA 95662 | 2011-01-02 |
| 1679634877 | Troy M Mauvais | Chiropractor | 8836 Greenback Ln, Ste B, Orangevale, CA 95662 | 2006-12-12 |
| 1821169830 | Peter W Worth | Dentist | 9197 Greenback Lane, Suite A, Orangevale, CA 95662 | 2006-11-13 |
| 1497763866 | Peter D Lopresti | Chiropractor | 9198 Greenback Lane, Suite 112, Orangevale, CA 95662 | 2006-08-03 |
| 1245454297 | Cheryl Ann Lee | Massage Therapist | 9198 Greenback Ln, #208, Orangevale, CA 95662 | 2007-04-12 |
| 1144735614 | Ondrea Lynn Cumbra | Behavior Technician | 8783 Steven Ave, Orangevale, CA 95662-2110 | 2017-12-06 |
| 1760963540 | Rajena Atwal | Pharmacist | 10040 Hadleigh Dr, Orangevale, CA 95662-2234 | 2018-08-28 |
| 1134580228 | Paradise Oaks Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 7441 Hickory Ave, Orangevale, CA 95662-2305 | 2016-03-16 |
| Find all providers in zip 95662 | ||||
| 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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| Find all providers with the same taxonomy | ||||
| City | ORANGEVALE |
| Zip Code | 95662 |
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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.