HOOSHANG DALAVARIAN, INC (NPI# 1487686556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487686556 |
| Entity Type | Organization |
| Organization Name | HOOSHANG DALAVARIAN, INC |
| Other Organization Name | SOUTHERN CALIFORNIA REFERENCE LABORATORY |
| Practice Address |
100 Tustin Ave Tustin CA 92780 |
| Practice Telephone | 7142852950 |
| Practice Fax Number | 7142852960 |
| Mailing Telephone | 7142852950 |
| Mailing Fax Number | 7142852960 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | HOOSHANG DALAVARIAN (PRESIDENT) |
| Authorized Official Telephone | 7142852950 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF 11532 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB55508F | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHERN CALIFORNIA REFERENCE LABORATORY | Doing Business As Name - Organization |
| Street Address |
100 TUSTIN AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| 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 |
|---|---|---|---|---|
| 1598138562 | Equaltox, LLC | Clinical Medical Laboratory | 1562 Parkway Loop, Suite B, Tustin, CA 92780-6507 | 2015-11-12 |
| 1699085290 | Histopathology Services Inc | Clinical Medical Laboratory | 15012 Red Hill Ave, Suite 8h, Tustin, CA 92780-6524 | 2010-10-15 |
| 1528387727 | Labwest, Inc | Clinical Medical Laboratory | 100 N Tustin Ave, Tustin, CA 92780-2908 | 2010-05-27 |
| 1326234204 | Mohs-tek, Inc. | Clinical Medical Laboratory | 1342 Bell Ave Ste 3h, Tustin, CA 92780-6440 | 2007-09-24 |
| 1861566762 | Jamellow LLC | Clinical Medical Laboratory | 1131 E Main St, Suite 109, Tustin, CA 92780-4416 | 2006-11-20 |
| 1750494209 | Oncotech Inc | Clinical Medical Laboratory | 15501 Red Hill Avenue, Tustin, CA 92780 | 2006-08-17 |
| 1427035799 | Accupath Diagnostic Laboratories, Inc | Clinical Medical Laboratory | 17772 17th St, Suite 101, Tustin, CA 92780-1944 | 2005-12-28 |
| 1003810409 | Harris Histology Services | Clinical Medical Laboratory | 630 S B St, Tustin, CA 92780-4318 | 2005-06-13 |
| 1235132846 | Accupath Diagnostic Laboratories, Inc | Clinical Medical Laboratory | 17772 17th St # 101-106, Tustin, CA 92780-1944 | 2005-05-27 |
| 1467868448 | Cooperative Labs, Inc. | Clinical Medical Laboratory | 1421 Edinger Ave Ste D, Tustin, CA 92780-6287 | 2014-07-10 |
| Find all providers in TUSTIN | ||||
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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.