Organization Active NPI

Orange County Labs Inc.

  • Clinical Medical Laboratory
  • Huntington Beach, CA
National Provider Identifier
1023439809
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2068755 Issued in CA
Legal business name
ORANGE COUNTY LABS INC.
Practice address
17672 Beach Blvd Ste F
Huntington Beach, CA 92647-6836
Phone
(714) 894-1591
Fax
(714) 894-1590
NPI assigned
Dec 23, 2013
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ORANGE COUNTY LABS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Michael Ramsey
Title
Owner
Phone
(714) 894-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D2068755 CA Primary

Addresses

Primary practice location

17672 Beach Blvd Ste F
Huntington Beach, CA 92647-6836

Mailing address

17672 Beach Blvd Ste F
Huntington Beach, CA 92647-6836
Phone (714) 894-1591

Other practice location 1

5772 bolsa ave
suite 210
huntington beach, CA 92649
Phone (714) 765-1305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170821003438 CA Part B Supplier - Independent Clinical Laboratory 6800168170 Practice locations: Huntington Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2068755Orange County Labs Inc17672 Beach Blvd, Ste F, Huntington Beach, CA 92647ComplianceMar 15, 2028

National Provider Directory

National Provider Directory
Part of
Orange County Labs Inc

Locations

15165 Triton Ln
Huntington Beach, CA 92649
Phone (714) 894-1591

17672 Beach Blvd
Ste F
Huntington Beach, CA 92647
Phone (714) 894-1591

5772 Bolsa Ave
Ste 210
Huntington Beach, CA 92649
Phone (714) 373-4800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1023439809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD STE F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476836",
            "telephone_number": "714-894-1591",
            "fax_number": "714-894-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD STE F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476836",
            "telephone_number": "714-894-1591",
            "fax_number": "714-894-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5772 bolsa ave",
            "address_2": "suite 210",
            "address_purpose": "LOCATION",
            "city": "huntington beach",
            "state": "CA",
            "postal_code": "92649",
            "country_code": "US",
            "telephone_number": "714-765-1305",
            "fax_number": "714-373-4809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORANGE COUNTY LABS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORANGE COUNTY LABS INC.",
        "enumeration_date": "2013-12-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-894-1591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2068755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.