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Pmed3

Clinical Medical Laboratory in Azusa, CA. Organization (NPI-2).

NPI number1548784341
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1548784341
Entity type
Organization (NPI-2)
Legal business name
Pmed3
Organization subpart
No
Enumeration date
Aug 2, 2017
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

426 N San Gabriel Ave
Azusa, CA 91702-3451

Phone 626-804-3645 · Fax 626-804-3648

Mailing address

Po Box 1329
Azusa, CA 91702-1329

Phone 626-804-3645 · Fax 626-804-3648

Authorized official

Steve S. Sommer
President/Medical Director
6268043645

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Medical Laboratory providers in Azusa, CA

All 6 Clinical Medical Laboratory providers in Azusa · All 631 providers in Azusa

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