{
  "npi": "1194493007",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "EVELYN",
    "authorized_official_last_name": "LEW",
    "authorized_official_middle_name": "N",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_telephone_number": "9097778888",
    "authorized_official_title_or_position": "Administrator",
    "certification_date": "2022-07-13",
    "enumeration_date": "2021-09-03",
    "last_updated": "2022-07-13",
    "organization_name": "AFMC DIAMOND LAB",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1370 VALLEY VISTA DR STE 135",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DIAMOND BAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "909-551-0200",
      "postal_code": "917653950",
      "state": "CA",
      "telephone_number": "909-777-8888"
    },
    {
      "address_1": "1370 VALLEY VISTA DR STE 135",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DIAMOND BAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "909-551-0200",
      "postal_code": "917653950",
      "state": "CA",
      "telephone_number": "909-777-8888"
    }
  ],
  "taxonomies": [
    {
      "code": "207VE0102X",
      "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "291U00000X",
      "desc": "Clinical Medical Laboratory",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "CLIA-Certified Diagnostic Medical & Pathology Laboratory",
    "certifying_board": "CMS CLIA / College of American Pathologists (CAP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "69",
        "medicare_type": "Clinical Laboratory"
      },
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Histocompatibility Laboratory"
      }
    ]
  }
}