ANTIOCH MEDICAL PARK MEDICAL LAB NPI 1518142090
Clinical Medical Laboratory in Antioch, CA

About ANTIOCH MEDICAL PARK MEDICAL LAB

Antioch Medical Park Medical Lab is a provider established in Antioch, California operating as a Clinical Medical Laboratory. The NPI number of Antioch Medical Park Medical Lab is 1518142090 and was assigned on January 2008. The practitioner's primary taxonomy code is 291U00000X with license number LAB97463F (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Antioch Medical Park Lab. The authorized official of this NPI record is Dr. J Gene Zimmerman Md (Director)

NPI
1518142090
Provider NameANTIOCH MEDICAL PARK MEDICAL LAB
Location Address3737 LONE TREE WAY ANTIOCH, CA 94509
Location Phone(925) 754-1254
Mailing Address3737 LONE TREE WAY ANTIOCH, CA 94509
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameANTIOCH MEDICAL PARK LAB
Other Name TypeOther Name (5)
Enumeration Date01-03-2008
Last Update Date01-23-2008


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code291U00000X
ClassificationClinical Medical Laboratory
TypeLaboratories
License No.LAB97463F
License StateCA
Taxonomy Description(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

ANTIOCH MEDICAL PARK MEDICAL LAB
3737 LONE TREE WAY
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-1254
Fax: (925) 754-1764

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Mailing Address

ANTIOCH MEDICAL PARK MEDICAL LAB
3737 LONE TREE WAY
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-1254
Fax: (925) 754-1764


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. J GENE ZIMMERMAN MD
Authorized Official TitleDIRECTOR
Authorized Official Phone(925) 754-9223

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
LAB97463FMEDICAID (05)CA
ZZZ76320ZMEDICARE PIN (08)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518142090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528244018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 4 + 4 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518142090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982623484DR. ROBERT S CLUFF MD
Individual
Psychiatry & Neurology (Neurology)3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-1768
1144238510 GURUNATH RAJAPURAM M.D.
Individual
Internal Medicine (Cardiovascular Disease)3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 753-1986
1154424299ANTIOCH MEDICAL PARK MEDICAL GROUP
Organization
Family Medicine3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-9223
1124121223DR. DANIEL L ZIMMERMAN MD
Individual
Obstetrics & Gynecology3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-9223
1003009440 REKHA VONTELA DDS
Individual
Dentist3737 LONE TREE WAY SUITE F
ANTIOCH, CA 94509
(925) 754-5432
1427388875REKHA VONTELA DDS
Organization
Dentist3737 LONE TREE WAY #F
ANTIOCH, CA 94509
(925) 754-5432
1225421589DANIEL L ZIMMERMAN MD, INC.
Organization
Obstetrics & Gynecology3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-0383
1538357579MS. CHRISTIANE ALISA PETERS NP
Individual
Nurse Practitioner (Women's Health)3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-9223
1942513841 JULIE KATHLEEN HOOD FNP
Individual
Nurse Practitioner (Family)3737 LONE TREE WAY
ANTIOCH, CA 94509
(925) 754-8070

Frequently Asked Questions

What is ANTIOCH MEDICAL PARK MEDICAL LAB NPI number?

The NPI number assigned to ANTIOCH MEDICAL PARK MEDICAL LAB is 1518142090, registered as an "organization" on January 03, 2008

Where is ANTIOCH MEDICAL PARK MEDICAL LAB located?

The provider is located at 3737 Lone Tree Way Antioch, Ca 94509 and the phone number is (925) 754-1254

What kind of medical provider is ANTIOCH MEDICAL PARK MEDICAL LAB?

This medical organization specializes in Clinical Medical Laboratory

What insurance does ANTIOCH MEDICAL PARK MEDICAL LAB accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of ANTIOCH MEDICAL PARK MEDICAL LAB was last updated on January 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]