MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
NPI 1063477461
Pathology - Anatomic Pathology & Clinical Pathology in Wildomar, CA
NPI Status: Active since April 19, 2006
Contact Information
36485 INLAND VALLEY DR
WILDOMAR, CA
ZIP 92595
Phone: (760) 731-3334
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
About MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Medical Laboratory Services Medical Group, Inc., a provider established in Wildomar, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1063477461 assigned on April 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Medical Laboratory Services Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ernest N Holburt Md (President)
- NPI
- 1063477461
- Provider Name
- MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 36485 INLAND VALLEY DR WILDOMAR, CA 92595
- Location Phone
- (760) 731-3334
- Mailing Address
- PO BOX 10076 VAN NUYS, CA 91410
- Mailing Phone
- (805) 578-8300
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2006
- Last Update Date
- 08-20-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZC0500X | Allopathic & Osteopathic Physicians | Pathology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0092911 | MEDICAID (05) | CA | |
| ZZZ07698Z | MEDICARE PIN (08) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 7 | 7 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 7 | 14 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 7 + 1 + 4 + 4 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1063477461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083729891 | LISA M BORNMANN P.A.-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1790890465 | BRENT JACOBSEN D.O Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1265547087 | JOSEPH S DEMATTIA P.A.-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1861507626 | BRET E GINTHER M.D. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1134234818 | STEVEN S KIM M.D. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1851518385 | TERRY GLENN CARTELL P.T. Individual | Physical Therapist | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 696-2604 |
| 1356586432 | JOHN L. OAKLEY, PHD., M.D., INC. Organization | Anesthesiology | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1881867125 | ZEKE FOSTER Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1902013576 | DR. EDWIN F LOPEZ M.D., F.A.C.E.P. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 667-1111 |
| 1104976661 | DR. STEPHEN HOMAN D.O. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1194768663 | JULIE MARIE SHRYOCK ELIAS P.A. Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 304-7187 |
| 1417357310 | GREGORY O'NEIL SANDERS RRT/CRT Individual | Respiratory Therapist, Registered (General Care) | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1912012600 | JENNINE MARIE WHITE BORCHERT P.A.-C. Individual | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (909) 677-9773 |
| 1427317460 | ILYA YAKHNENKO MD Individual | Hospitalist | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1932644143 | LYNDA TRUONG PA-C Individual | Physician Assistant | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1053779140 | CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION Organization | Emergency Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (469) 401-2386 |
| 1508131764 | GALEN INPATIENT PHYSICIANS INC Organization | Internal Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1861836207 | TRANG NGUYEN D.O. Individual | Internal Medicine | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 304-7187 |
| 1376801332 | CHRISTOPHER C TOENSING M.D. Individual | Radiology (Diagnostic Radiology) | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
| 1386112803 | DR. MADALYN JASPER DPT Individual | Physical Therapist | 36485 INLAND VALLEY DR WILDOMAR, CA 92595 (951) 677-1111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063477461, enumerated in the NPI registry as an "organization" on April 19, 2006
The provider is located at 36485 Inland Valley Dr Wildomar, Ca 92595 and the phone number is (760) 731-3334
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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