Organization Active NPI

Laboratory Services, LLC

  • Clinical Medical Laboratory
  • Costa Mesa, CA
National Provider Identifier
1063011898
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORY SERVICES, LLC
Practice address
245 Fischer Ave Ste A2
Costa Mesa, CA 92626-4536
Phone
(657) 267-0063
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Nick Prescott
Title
Ceo
Phone
(714) 270-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

245 Fischer Ave Ste A2
Costa Mesa, CA 92626-4536

Mailing address

245 Fischer Ave Ste A2
Costa Mesa, CA 92626-4536

National Provider Directory

National Provider Directory

Locations

245 Fischer Ave
Ste A2
Costa Mesa, CA 92626
Phone (657) 267-0063

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1063011898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FISCHER AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FISCHER AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264536",
            "telephone_number": "657-267-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-270-8733"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.