MN CLINICAL LABORATORY INC (NPI# 1457405540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457405540 |
| Entity Type | Organization |
| Organization Name | MN CLINICAL LABORATORY INC |
| Practice Address |
1327 S Myrtle Ave Monrovia CA 91016-4150 |
| Mailing Address |
4712 Admiralty Way # 1010 Marina Del Rey CA 90292-6905 |
| Practice Telephone | 6263038674 |
| Practice Fax Number | 3105777560 |
| Mailing Telephone | 3104298711 |
| Mailing Fax Number | 3105777560 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | DR. JOON SUECK LEE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3104298711 |
| Authorized Official Credential | MEDICAL DOCTOR M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF1817 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CHOC HEALTH ALLIANCE | 95438506 | 01 |
| CA | CAL OPTIMA DIRECT | LAB72547G | 01 |
| CA | LAB72547G | 05 |
| Street Address |
1327 S MYRTLE AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| 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 |
|---|---|---|---|---|
| 1063036689 | Priva Path Labs, Inc | Clinical Medical Laboratory | 222 E Huntington Dr Ste 100, Monrovia, CA 91016-8012 | 2020-05-29 |
| 1023354040 | Insource Diagnostics Corp | Clinical Medical Laboratory | 231 W Chestnut Ave, Monrovia, CA 91016-3315 | 2012-12-19 |
| 1730459025 | Laboratory Corporation of America | Clinical Medical Laboratory | 605 E Huntington Dr Ste 209, Monrovia, CA 91016-6353 | 2012-01-04 |
| 1841519048 | Labwest, Inc | Clinical Medical Laboratory | 605 E Huntington Dr, Ste 209, Monrovia, CA 91016-6352 | 2010-05-27 |
| 1518002898 | Advanced Medical Analysis, LLC | Clinical Medical Laboratory | 1941 Walker Ave, Monrovia, CA 91016-4846 | 2007-02-21 |
| 1821057407 | Arbor Via Corporation | Clinical Medical Laboratory | 2119 S Myrtle Ave, Monrovia, CA 91016-4838 | 2006-03-21 |
| 1366678682 | Endeavour Diagnostics Inc | Clinical Medical Laboratory | 1941 Walker Ave, Monrovia, CA 91016-4846 | 2009-06-01 |
| 1851422240 | Community Diagnostic Laboratory | Clinical Medical Laboratory | 1941 Walker Ave, Monrovia, CA 91016-4846 | 2007-03-08 |
| 1699739417 | Genzyme Corporation | Clinical Medical Laboratory | 655 E Huntington Dr, Monrovia, CA 91016-3636 | 2006-04-17 |
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| 1851992127 | Predicine, Inc. | Clinical Medical Laboratory | 3555 Arden Rd, Hayward, CA 94545-3922 | 2020-11-03 |
| 1205435989 | Bioanalysis Diagnostic Laboratories | Clinical Medical Laboratory | 18173 Pioneer Blvd Ste K, Artesia, CA 90701-3988 | 2020-10-22 |
| 1164021085 | Integrated Laboratories Advisory Group, Inc. | Clinical Medical Laboratory | 7 W Figueroa St Ste 300, Santa Barbara, CA 93101-3189 | 2020-10-21 |
| 1053910273 | Onsite Phlebotomy Solutions | Clinical Medical Laboratory | 1040 S Mount Vernon Ave # G-276, Colton, CA 92324-4228 | 2020-10-19 |
| 1730787649 | Central California Testing, Inc | Clinical Medical Laboratory | 7737 Meany Ave Ste B9, Bakersfield, CA 93308-5267 | 2020-10-13 |
| 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.