Organization Active NPI

Set Labs LLC

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1033876982
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SET LABS LLC
Doing business as
Set Labs LLC
Practice address
6725 Mesa Ridge Rd Ste 240
San Diego, CA 92121-2925
Phone
(858) 472-5590
NPI assigned
Nov 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Dr. Loganathan Doraisamy, PH.D
Title
Manager
Phone
(858) 472-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6725 Mesa Ridge Rd Ste 240
San Diego, CA 92121-2925

Mailing address

6725 Mesa Ridge Rd Ste 240
San Diego, CA 92121-2925
Phone (858) 472-5590

Other names 1

  • Set Labs LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.loganlabs.co Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322002208 CA Part B Supplier - Independent Clinical Laboratory 4789079195 Practice locations: San Diego, 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
05D2212466Set Labs, LLC6725 Mesa Ridge Rd, Ste 240, San Diego, CA 92121ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

6725 Mesa Ridge Rd
Ste 240
San Diego, CA 92121
Phone (760) 944-9200

NPI Registry JSON

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1033876982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 MESA RIDGE RD STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212925",
            "telephone_number": "858-472-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 MESA RIDGE RD STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212925",
            "telephone_number": "858-472-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SET LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-25",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "DORAISAMY",
        "authorized_official_first_name": "LOGANATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-472-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.loganlabs.co",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6725 Mesa Ridge Rd Ste 240",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921212925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Set Labs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.