1740511393 NPI number — CPLM INTEGRATED PATHOLOGY SERVICES INC

Table of content: DR. DAVID DAWSON THOMBS M.D. (NPI 1699721332)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740511393 NPI number — CPLM INTEGRATED PATHOLOGY SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CPLM INTEGRATED PATHOLOGY SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740511393
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23845 MCBEAN PARKWAY
Provider Second Line Business Mailing Address:
DEPARTMENT OF PATHOLOGY
Provider Business Mailing Address City Name:
VALENCIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91355-2001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-253-8713
Provider Business Mailing Address Fax Number:
661-253-8647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23845 MCBEAN PKWY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
VALENCIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91355-2001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-288-8325
Provider Business Practice Location Address Fax Number:
310-423-0170
Provider Enumeration Date:
01/21/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SONI
Authorized Official First Name:
RASHIDA
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
800-288-8325

Provider Taxonomy Codes

  • Taxonomy code: 207ZB0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZC0006X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZH0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)