LIFE TECHNOLOGIES CLINICAL SVCS LAB INC. (NPI# 1306190129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306190129 |
| Entity Type | Organization |
| Organization Name | LIFE TECHNOLOGIES CLINICAL SVCS LAB INC. |
| Practice Address |
910 Riverside Parkway Suite 60 West Sacramento CA 95605-1510 |
| Practice Telephone | 8887348588 |
| Practice Fax Number | 8558960909 |
| Mailing Telephone | 8887348588 |
| Mailing Fax Number | 8558960909 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | MR. ALAN EUGENE WELLS SR. (SR. MANAGER LABORATORY OPERATIONS) |
| Authorized Official Telephone | 7607176239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 05D1067109 | CA | Laboratories |
| Street Address |
910 RIVERSIDE PARKWAY SUITE 60 |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95605-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551502 | Bridgecare Solutions Are LLC | Nurse Practitioner | 612 Watercolor Lane, West Sacramento, CA 95605 | 2020-06-02 |
| 1104316413 | West Sacramento Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 751 Elm Street, West Sacramento, CA 95605 | 2018-05-11 |
| 1760735336 | Kaplan Alexander Dental Corporation | Dentist | 759 Ikea Ct, 110, West Sacramento, CA 95605 | 2012-10-19 |
| 1558616912 | David Anthony Cardenas | Counselor | 540 Kegle Dr, Sacrament, CA 95605 | 2012-07-20 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1891093902 | Tegwin Millard | Counselor | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605 | 2011-03-14 |
| 1962639005 | Beverley Elizabeth Calderone | Psychologist | 500-b Jefferson Boulevard, Suite 150, West Sacramento, CA 95605 | 2009-06-16 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1497968960 | Holly Lenore Smith | Registered Nurse | Yolo County Health Dept., 500 B Jefferson Blvd., Suite 170, West Sacramento, CA 95605 | 2007-05-08 |
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| 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. |
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| City | WEST SACRAMENTO |
| Zip Code | 95605 |
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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.