LIFE POINT MEDICAL AND URGENT CARE INC - NPI 1770962201

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Life Point Medical And Urgent Care Inc NPPES

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

LIFE POINT MEDICAL AND URGENT CARE INC (NPI 1770962201) is a healthcare organization registered as a multi-specialty in Montclair, California and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Noreen Wayne Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770962201

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLIFE POINT MEDICAL AND URGENT CARE INC

Location Address9057 CENTRAL AVEMontclair, CA 91763-1622

Mailing Address9057 Central AveMontclair, CA 91763-1622 · (909) 398-4958 · Fax (909) 398-4979

Phone(909) 398-4958

Fax(909) 398-4979

Organization SubpartNo

Authorized OfficialNoreen Wayne BassAdministrator · (909) 398-4958

Enumeration DateMay 29, 2015

Last NPPES UpdateOctober 5, 2019

✔ NPI 1770962201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

9057 CENTRAL AVE, Montclair, CA 91763

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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 05D2273501

Life Point Medical Group And Urgent Care Inc · Montclair, CA

Active · expires Dec 13, 2026

CLIA Number05D2273501

Laboratory TypePhysician Office

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorJustinder S. Malhotra

Laboratory Phone(909) 398-4958

Laboratory LocationLife Point Medical Group And Urgent Care Inc9057 Central Ave, Montclair, CA 91763

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. GLORIA MARGARET SANCHEZ NP

Nurse Practitioner