Provider Demographics
NPI:1679843379
Name:FIRST CALL DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:FIRST CALL DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:866-322-4222
Mailing Address - Street 1:PO BOX 15226
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92735-0226
Mailing Address - Country:US
Mailing Address - Phone:866-322-4222
Mailing Address - Fax:800-535-7449
Practice Address - Street 1:1200 N MAIN ST
Practice Address - Street 2:SUITE 610
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-3640
Practice Address - Country:US
Practice Address - Phone:866-322-4222
Practice Address - Fax:800-535-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP42119261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty