LEO NYHOLM (NPI# 1164554713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164554713 |
| Entity Type | Organization |
| Organization Name | LEO NYHOLM |
| Other Organization Name | LAB SERVICES |
| Practice Address |
20825 South St Suite D Tehachapi CA 93561-8649 |
| Practice Telephone | 6618221965 |
| Practice Fax Number | 6618231971 |
| Mailing Telephone | 6618221965 |
| Mailing Fax Number | 6618231971 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | MR. LEO NYHOLM (OWNER) |
| Authorized Official Telephone | 6618221965 |
| Authorized Official Credential | BIOANALYST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF 11592 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LABORATORY LICENSE NUMBER | CLF11592 | 01 |
| CA | MEDICARE PTAN | ZZZ17938Z | 01 |
| CA | CLIA NUMBER | 05D0962446 | 01 |
| Other Name | Type Code |
|---|---|
| Lab Services | Doing Business As Name - Organization |
| Street Address |
20825 SOUTH ST SUITE D |
| City | TEHACHAPI |
| State | CA |
| Zip Code | 93561-8649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619175288 | Russell N Anderson | Chiropractor | 20825 South St, Suite A, Tehachapi, CA 93561-6438 | 2007-07-05 |
| 1649399015 | Howard Kwasman | Chiropractor | 20825 South St, Tehachapi, CA 93561-6438 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353795 | Charles David Arcaro | Counselor | 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 | 2020-07-10 |
| 1063042422 | Behavior Education Analysis & Research LLC | Behavioral Analyst | 26300 Chester Ct., Tehachapi, CA 93561 | 2020-01-24 |
| 1821628637 | Healing Connections: Child and Family Therapy, Inc. | Marriage & Family Therapist | 20601 Highway 202, Unit A104, Tehachapi, CA 93561 | 2020-01-21 |
| 1245798503 | Alanamarie Pearsall | Chiropractor | 20406 Brian Way, Std 4d, Tehachapi, CA 93561 | 2019-03-06 |
| 1205329430 | Stephanie Edman | Acupuncturist | 276 S. Mill St. Suite A, Tehachapi, CA 93561 | 2018-06-12 |
| 1487010476 | Cassaundra Jo Lynch | Pharmacist | 24900 Ca-202, Tehachapi, CA 93561 | 2016-01-07 |
| 1407222888 | Erin E Grillo | Physical Therapist | 815 Tucker Rd Ste C, Tehachapi, CA 93561 | 2015-08-19 |
| 1447634258 | Jennifer Diaz | Licensed Vocational Nurse | 113 E F Street, Tehachapi, CA 93561 | 2015-07-13 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1780064154 | Juan Medina | Student in an Organized Health Care Education/Training Program | 113 East F Street, Tehachapi, CA 93561 | 2015-06-01 |
| Find all providers in zip 93561 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063684405 | Omni Family Health | Clinical Medical Laboratory | 161 Mill Street, Tehachapi, CA 93561-2523 | 2008-03-26 |
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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.