PMDLAB, LLC (NPI# 1841724895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841724895 |
| Entity Type | Organization |
| Organization Name | PMDLAB, LLC |
| Practice Address |
4630 Northgate Blvd Ste 150 Sacramento CA 95834-1141 |
| Mailing Address |
29222 Rancho Viejo Rd Ste 127 San Juan Capistrano CA 92675-1049 |
| Practice Telephone | 9167768240 |
| Practice Fax Number | 9165971379 |
| Mailing Telephone | 9495401249 |
| Mailing Fax Number | 9495401966 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | SOON BURNAM (TREAUSURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF 11680 | CA | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1824 Norris Rd Ste 200, Bakersfield, CA 933082229 | 6613995301 | 6613995371 |
| Street Address |
4630 NORTHGATE BLVD STE 150 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| 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 |
|---|---|---|---|---|
| 1609356831 | Pulmonary Function Associates, LLC | Clinical Medical Laboratory | 1315 Alhambra Blvd Ste 205, Sacramento, CA 95816-5246 | 2018-08-16 |
| 1053785345 | Unilab Corporation | Clinical Medical Laboratory | 3620 Northgate Blvd, Sacramento, CA 95834-1619 | 2015-11-24 |
| 1568891067 | Family Planning Associates Medical Group,inc. | Clinical Medical Laboratory | 2322 Butano Dr Ste 205, Sacramento, CA 95825-0657 | 2013-11-05 |
| 1306086822 | Pediatric Bioscience, Inc. | Clinical Medical Laboratory | 1901 Royal Oaks Dr, Suite 200, Sacramento, CA 95815-3868 | 2009-02-23 |
| 1649471798 | Prenatal Diagnosis of Northern California Medical Group Inc. | Clinical Medical Laboratory | 1111 Exposition Blvd., Bldg. 200, Sacramento, CA 95815-4324 | 2007-05-29 |
| 1770688129 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 1625 Stockton Blvd Ste 208, Sacramento, CA 95816-7092 | 2006-09-13 |
| 1619913449 | Unilab Corporation | Clinical Medical Laboratory | 3714 Northgate Blvd, Sacramento, CA 95834-1617 | 2006-06-21 |
| 1932148947 | Sutter Valley Hospitals | Clinical Medical Laboratory | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2006-06-05 |
| 1710983671 | Path Labs, LLC | Clinical Medical Laboratory | 1166 National Dr Ste 80, Sacramento, CA 95834-1978 | 2005-06-24 |
| 1154684827 | Forum Bhupendra Patel | Clinical Medical Laboratory | 3301 C St, #1400, Sacramento, CA 95816-3300 | 2012-06-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
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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.