Organization
PRIME CLINICAL LABORATORY INC.
Active
Organization
PRIME CLINICAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BRAGASIN (OWNER)
(661) 253-1173
Entity
Organization
Contact information
Practice address
72650 FRED WARING DR, PALM DESERT, CA 92260-5006
(661) 253-1173
Mailing address
27825 FREMONT CT STE 14, VALENCIA, CA 91355-1143
(661) 253-1173
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/30/2016
Last updated
08/05/2022
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