Active NPI
Strategic Concepts Lab LLC
- Clinical Medical Laboratory
- Pleasanton, CA
National Provider Identifier
1063140598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | |||
| Clinical Pathology/Laboratory Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221207000349 | CA | Part B Supplier - Independent Clinical Laboratory | 8123497526 | Practice locations: Pleasanton, CA |
National Provider Directory
National Provider DirectoryLocations
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.