MAHARLIKA MEDICAL LABORATORY, INC.


Address: 1350 O St Ste 101, Fresno, CA 93721-1828
Phone: 5592336242

MAHARLIKA MEDICAL LABORATORY, INC. (NPI# 1326041690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326041690
Entity Type Organization
Organization Name MAHARLIKA MEDICAL LABORATORY, INC.
Practice Address 1350 O St Ste 101
Fresno
CA 93721-1828
Mailing Address Po Box 2032
Fresno
CA 93718-2032
Practice Telephone 5592336242
Practice Fax Number 5592336243
Mailing Telephone 5592336242
Mailing Fax Number 5592336243
Enumeration Date 2005-05-31
Last Update Date 2007-09-25
Authorized Official Name MR. JOHNNIE LEWIS ADAMS (CHAIRMAN)
Authorized Official Telephone 5592336242
Authorized Official Credential MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory CLF4565 CA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA LAB58481F 05

Office Location

Street Address 1350 O ST STE 101
City FRESNO
State CA
Zip Code 93721-1828

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1649798992 Nadia C Martinez Licensed Vocational Nurse 1310 M. Street, Fresno, CA 93721 2017-09-07
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1154723542 Ryan Gil Physical Therapist 1350 O St Ste 201, Fresno, CA 93721 2014-09-17
1831526250 Tiffany Marie Gonzalez Counselor 2409 Mered St #106, Fresno, CA 93721 2013-09-30
1972939783 Reshale L Thomas Psychologist 2900 Fresno St Ste 108, Fresno, CA 93721 2013-09-25
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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1902382187 Omni Family Health Clinical Medical Laboratory 1900 N. Gateway Blvd, Ste 116, Fresno, CA 93727-1622 2018-07-11
1831621788 The Nephrology Group, Inc. Clinical Lab Clinical Medical Laboratory 568 E Herndon Ave Ste 104, Fresno, CA 93720-2989 2017-03-30
1205367646 Omni Family Health Clinical Medical Laboratory 4844 N 1st St Ste 104, Fresno, CA 93726-0529 2017-03-27
1639431620 Preferred Sleep Center, Inc Clinical Medical Laboratory 6067 N Fresno St Ste 105, Fresno, CA 93710-5200 2012-06-14
1598957631 Accupath Diagnostic Laboratories Inc Clinical Medical Laboratory 410 W Fallbrook Ave, Suite 104, Fresno, CA 93711-6197 2007-08-13
1457573651 Central California Blood Center Clinical Medical Laboratory 3445 N 1st St, Fresno, CA 93726-6864 2007-05-03
1396962973 Mercy A. Halverson Clinical Medical Laboratory 1817 N Helm Ave, Suite 107, Fresno, CA 93727-1631 2007-04-18
1619481348 Omni Family Health Clinical Medical Laboratory 3748 E Shields Ave, Fresno, CA 93726-7028 2017-11-16
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Competitor

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City FRESNO
Zip Code 93721

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Dataset Information

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.

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