OrganizationActive
Leo Nyholm
NPI 1164554713 · Clinical Medical Laboratory · Tehachapi, CA
Provider details
- NPI number
- 1164554713
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Leo Nyholm, Owner(661) 822-1965
- License
- CLF 11592 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20825 South St
Suite D
Tehachapi, CA 93561-8649
Phone: (661) 822-1965
Fax: (661) 823-1971
Street-level locationGet directions
Mailing address
20825 South St
Tehachapi, CA 93561-8649
Other names (DBA / former)
- Doing business as
- Lab Services
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.