LIBERTY LABORATORY LLC (NPI# 1689056855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689056855 |
| Entity Type | Organization |
| Organization Name | LIBERTY LABORATORY LLC |
| Practice Address |
10760 Warner Ave Ste 201 Fountain Valley CA 92708-3857 |
| Practice Telephone | 7145935356 |
| Practice Fax Number | 7145935366 |
| Mailing Telephone | 7145935356 |
| Mailing Fax Number | 7145935366 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MRS. ROCHELLE ALI (MANAGER) |
| Authorized Official Telephone | 7145935356 |
| Authorized Official Credential | MA |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY LABORATORY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
10760 WARNER AVE STE 201 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912343948 | Jotika Huy Truong | Acupuncturist | 10760 Warner Ave Ste 201, Fountain Valley, CA 92708 | 2013-05-16 |
| 1023523099 | Tariq Hilal, Do Inc. | Physical Medicine & Rehabilitation | 10760 Warner Ave Ste 201, Fountain Valley, CA 92708-3857 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1265973887 | Labpro Diagnostics Inc. | Clinical Medical Laboratory | 18437 Mount Langley St Ste D, Fountain Valley, CA 92708-6915 | 2017-03-15 |
| 1346698826 | Horizon Toxicology Laboratory LLC | Clinical Medical Laboratory | 10507 Slater Ave, Fountain Valley, CA 92708-4841 | 2016-05-25 |
| 1487900478 | Compliance Medical Management | Clinical Medical Laboratory | 8700 Warner Ave Ste 200, Fountain Valley, CA 92708-3212 | 2012-07-27 |
| 1225316482 | Lab Genomics, LLC | Clinical Medical Laboratory | 11160 Warner Ave Ste 415, Fountain Valley, CA 92708-4056 | 2011-07-21 |
| 1053878470 | Labpro Diagnostics Inc. | Clinical Medical Laboratory | 18437 Mount Langley St Ste D, Fountain Valley, CA 92708-6915 | 2019-02-21 |
| 1780014282 | Liberty 2000 LLC | Clinical Medical Laboratory | 10760 Warner Ave, 201, Fountain Valley, CA 92708-3845 | 2013-11-19 |
| 1881932853 | Wyle Resources | Clinical Medical Laboratory | 8700 Warner Ave Ste 200, Fountain Valley, CA 92708-3212 | 2013-01-24 |
| 1194079186 | Coast Surgical Consultants | Clinical Medical Laboratory | 8700 Warner Ave, Fountain Valley, CA 92708-3207 | 2012-10-30 |
| 1962790485 | Rk Medical | Clinical Medical Laboratory | 8700 Warner Ave, Fountain Valley, CA 92708-3207 | 2011-07-18 |
| 1447562954 | Advanced Medical Billing Servcies | Clinical Medical Laboratory | 8700 Warner Ave, Suite 200, Fountain Valley, CA 92708-3207 | 2010-07-13 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.