Organization Active NPI

Strategic Concepts Lab LLC

  • Clinical Medical Laboratory
  • Pleasanton, CA
National Provider Identifier
1063140598
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STRATEGIC CONCEPTS LAB LLC
Practice address
5757 Sonoma Dr Ste a
Pleasanton, CA 94566-7758
Phone
(773) 658-5979
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Hashmat Ahmad
Title
Ceo
Phone
(224) 345-1680

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5757 Sonoma Dr Ste a
Pleasanton, CA 94566-7758

Mailing address

5757 Sonoma Dr Ste a
Pleasanton, CA 94566-7758
Phone (773) 658-5979

Other names 1

  • Strategic Concepts Lab LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207000349 CA Part B Supplier - Independent Clinical Laboratory 8123497526 Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

4055 Nelson Ave
Concord, CA 94520

4055 Nelson Ave
Ste B
Concord, CA 94520
Phone (224) 345-1680

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1063140598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 SONOMA DR STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667758",
            "telephone_number": "773-658-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 SONOMA DR STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667758",
            "telephone_number": "773-658-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC CONCEPTS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "HASHMAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-345-1680"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strategic Concepts Lab LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.