Western Laboratory Medical Group

LBN: Western Laboratories
Western Laboratory Medical Group is an health care organization with primary practice located at 2000 Mowry Ave , Fremont CA 94538-1716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Western Laboratories can be contacted via phone (510) 797-1111, or through Tschetter, Clifford via phone (510) 797-1111.

Contact Information

Primary practice address
2000 Mowry Ave Fremont CA 94538-1716
Phone: (510) 797-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tschetter, Clifford Doctor of Medicine (MD)
Phone: (510) 797-1111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1255393435
LBN Legal business name Western Laboratories
DBA Doing business as Western Laboratory Medical Group
Authorized official Tschetter, Clifford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 8th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255393435 NPPES
California MEDICAID GR0014623

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