Organization
LINCOLN CLINICAL DIAGNOSTIC LABORATORY
Active
Organization
LINCOLN CLINICAL DIAGNOSTIC LABORATORY
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD W OLIVER M.D. (LABORATORY DIRECTOR)
(714) 635-2430
Entity
Organization
Contact information
Practice address
520 N BROOKHURST ST, SUITE #121, ANAHEIM, CA 92801-5227
(714) 635-2430
(714) 635-4138
Mailing address
520 N BROOKHURST ST, SUITE #121, ANAHEIM, CA 92801-5227
(714) 635-2430
(714) 635-4138
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00339715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2007832
CLIA ID NUMBER
CA
01
—
20A5179
LICENSE
CA
01
—
CLF00339715
LAB LICENSE
CA
Enumeration date
08/02/2010
Last updated
05/08/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up