LEE HISTOLOGY LAB (NPI# 1730212218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730212218 |
Entity Type | Organization |
Organization Name | LEE HISTOLOGY LAB |
Practice Address |
1212 Farmers Ln 4 Santa Rosa CA 95405-6747 |
Practice Telephone | 7075280166 |
Practice Fax Number | 7075919351 |
Mailing Telephone | 7075280166 |
Mailing Fax Number | 7075919351 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. THOMAS MICHAEL LEE (LAB OWNER) |
Authorized Official Telephone | 7075280166 |
Authorized Official Credential | HT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | ========= | CA | Laboratories |
Street Address |
1212 FARMERS LN 4 |
City | SANTA ROSA |
State | CA |
Zip Code | 95405-6747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508850884 | James Leroy Thomson | General Practice | 1212 Farmers Ln, Santa Rosa, CA 95405-6747 | 2005-09-01 |
1053662353 | Thomas M. Collins Chiropractic, Inc. | Clinic/Center | 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405-6747 | 2012-09-26 |
1760781231 | Thomas M. Keller, M.d. Professional Corporation | Pain Medicine | 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 | 2011-03-23 |
1356318232 | Thomas Mcneese Keller | Neurological Surgery | 1212 Farmers Ln, Suite 4, Santa Rosa, CA 95405-6747 | 2006-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
Find all providers in zip 95405 |
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 |
---|---|---|---|---|
1174861678 | Valley Labs | Clinical Medical Laboratory | 20476 Thompson Rd, Santa Rosa, TX 78593-2084 | 2013-01-18 |
1992857718 | Stephen Pinsk, M.d., Inc. | Clinical Medical Laboratory | 2449 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2007-01-18 |
1194874065 | County of Sonoma | Clinical Medical Laboratory | 3313 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-01-09 |
1891792875 | Redwood Toxicology Laboratory, Inc. | Clinical Medical Laboratory | 3650 Westwind Blvd, Santa Rosa, CA 95403-1066 | 2005-07-05 |
1093269235 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Dr, Suite 202, Santa Rosa, CA 95403-1670 | 2016-08-04 |
1245565977 | Sutter West Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Drive, Suite 202, Santa Rosa, CA 95403-1671 | 2009-10-14 |
1861693566 | Sutter Medical Foundation | Clinical Medical Laboratory | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-30 |
1376759597 | Sutter Medical Foundation North Bay | Clinical Medical Laboratory | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-15 |
1588879373 | Redwood Dermatopathology Laboratory | Clinical Medical Laboratory | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2007-05-14 |
1588743264 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-11-03 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95405 |
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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.