WESTERN CLINICAL LABORATORY INC (NPI# 1437312162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437312162 |
| Entity Type | Organization |
| Organization Name | WESTERN CLINICAL LABORATORY INC |
| Practice Address |
408 Sunrise Ave Suite 1 Roseville CA 95661 |
| Practice Telephone | 9167835201 |
| Practice Fax Number | 9167835286 |
| Mailing Telephone | 9167835201 |
| Mailing Fax Number | 9167835286 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. WILLIAM J KEENAN (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 9167835201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF 1739 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OLD PROVIDER NUMBER | ZZZ36227Z | 01 |
| Street Address |
408 SUNRISE AVE SUITE 1 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265532238 | Dennis Charles Swenson | Chiropractor | 408 Sunrise Ave, Ste 4, Roseville, CA 95661-4123 | 2006-09-22 |
| 1497891709 | Sam Wan | Acupuncturist | 408 Sunrise Ave, Suite 3, Roseville, CA 95661-4123 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1154777431 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 8 Medical Plaza Dr., 300, Roseville, CA 95661 | 2016-05-05 |
| 1548564511 | Genoa Healthcare Clinical Laboratory LLC | Clinical Medical Laboratory | 3101 Old Highway 8, Suite 203-a, Roseville, MN 55113-1072 | 2011-01-05 |
| 1225077225 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-06-05 |
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| 1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
| 1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
| 1588261127 | Safesite LLC | Clinical Medical Laboratory | 26660 Agoura Rd, Calabasas, CA 91302-1954 | 2020-10-07 |
| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
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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.