LA PROCEDURE CLINIC
NPI 1013265214
Clinic/Center - Primary Care in Los Angeles, CA
About La Procedure Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA PROCEDURE CLINIC (NPI 1013265214) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Randall G Shue, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0541968
Randall G Shue Do · Los Angeles, CAOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90023
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randall G. Shue D.O. Inc.'s NPI number?
The NPI number for Randall G. Shue D.O. Inc. is 1013265214. It was assigned to this organization in the NPPES registry on August 17, 2012. The provider is also known as La Procedure Clinic.
Where is Randall G. Shue D.O. Inc. located?
Randall G. Shue D.O. Inc. is located at 4055 E Olympic Blvd Suite 210, Los Angeles, CA 90023. The listed phone number is (323) 268-3491.
What is Randall G. Shue D.O. Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Randall G. Shue D.O. Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0541968) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Randall G. Shue D.O. Inc. was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# La Procedure Clinic · NPI 1013265214
Primary Care organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 17, 2012.
## Identity
- **NPI:** 1013265214 (Entity type: Organization)
- **Enumerated:** August 17, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Randall G. Shue D.o. Inc.
- **Organization subpart:** Yes (part of Randall G. Shue D.o. Inc.)
- **Authorized official:** Randall Shue, PRESIDENT
## Practice location
- **Address:** 4055 E OLYMPIC BLVD, SUITE 210, Los Angeles, CA 90023-3345
- **Phone:** (323) 268-3491
## Record status
- **NPPES last updated:** August 17, 2012
- **Other identifiers:** Medicare UPIN A93611 (CA); Medicaid 00AX51420 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013265214) · Data from the CMS NPPES public registry.