SOUTHERN CALIFORNIA REFERENCE LABORATORY – NPI #1487686556
Clinical Medical Laboratory

(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.

SOUTHERN CALIFORNIA REFERENCE LABORATORY is a clinical medical laboratory located in TUSTIN, CA. NPPES has assigned the NPI number 1487686556 to SOUTHERN CALIFORNIA REFERENCE LABORATORY on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN CALIFORNIA REFERENCE LABORATORY” is a dba name, the actual legal business name for this organization is HOOSHANG DALAVARIAN, INC. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 19 years ago on Nov 28, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN CALIFORNIA REFERENCE LABORATORY below.

NPI Profile for
HOOSHANG DALAVARIAN, INC

NPI Number
1487686556
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOOSHANG DALAVARIAN, INC
Doing Business As (dba): SOUTHERN CALIFORNIA REFERENCE LABORATORY
Primary location
100 TUSTIN AVE
TUSTIN, CA 92780
Phone: (714) 285-2950 Fax: (714) 285-2960
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOOSHANG DALAVARIAN
PRESIDENT
Phone: (714) 285-2950
Updated
Identifiers

Identifiers for SOUTHERN CALIFORNIA REFERENCE LABORATORY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCALAB55508F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
CA CLF 11532

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.