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NORTH MARKS MEDICAL CLINIC
NPI 1184049793
Clinic/Center in Fresno, CA

Active since February 19, 2014CLIA 05D2077804 · Microscopy
4011 N MARKS AVE, FRESNO, CA 93722(559) 860-4925 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Marks Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH MARKS MEDICAL CLINIC (NPI 1184049793) is a healthcare organization registered as a clinic/center in Fresno, California and active in the NPI registry since February 2014. The organization holds a CLIA Microscopy certificate valid through May 14, 2028 and lists Bla Mouanoutoua, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184049793
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREATER FRESNO HEALTH ORGANIZATION INC.
Location Address4011 N MARKS AVEFresno, CA 93722-4555
Mailing Address4011 N Marks AveFresno, CA 93722-4555 · (559) 860-4925
Phone(559) 860-4925
Organization SubpartNo
Authorized OfficialBla MouanoutouaCeo · (559) 255-6476
Enumeration DateFebruary 19, 2014
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1184049793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4011 N MARKS AVE, Fresno, CA 93722
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Other Names 1

Doing Business AsNorth Marks Medical Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2077804

North Marks Medical Clinic · Fresno, CA
Active · expires May 14, 2028
CLIA Number05D2077804
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorApai Polyudhapoom
Laboratory Phone(559) 255-6476
Laboratory LocationNorth Marks Medical Clinic4011 N Marks Ave, Fresno, CA 93722
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAI TONG YANG FNP
Nurse Practitioner (Family)
4011 N MARKS AVE
FRESNO, CA 93722
Fresno County (559) 860-4925
LAURA DAWN GRANT
Nurse Practitioner (Family)
4011 N MARKS AVE
FRESNO, CA 93722
Fresno County (559) 860-4925
HARSIMRAT KAUR
Nurse Practitioner
4011 N MARKS AVE
FRESNO, CA 93722
Fresno County (559) 860-4925
KAULY CHA NP
Nurse Practitioner (Family)
4011 N MARKS AVE
FRESNO, CA 93722
Fresno County (559) 860-4925

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 Greater Fresno Health Organization Inc.'s NPI number?

The NPI number for Greater Fresno Health Organization Inc. is 1184049793. It was assigned to this organization in the NPPES registry on February 19, 2014. The provider is doing business as North Marks Medical Clinic.

Where is Greater Fresno Health Organization Inc. located?

Greater Fresno Health Organization Inc. is located at 4011 N Marks Ave, Fresno, CA 93722. The listed phone number is (559) 860-4925.

What is Greater Fresno Health Organization Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Greater Fresno Health Organization Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2077804) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Greater Fresno Health Organization Inc. was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.