Organization Active NPI

Bella Laboratories LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1063187938
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BELLA LABORATORIES LLC
Practice address
18007 Sky Park Cir Ste F
Irvine, CA 92614-6515
Phone
(832) 583-3722
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Mirza Sultan Moinuddin
Title
Owner
Phone
(832) 583-3722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18007 Sky Park Cir Ste F
Irvine, CA 92614-6515

Mailing address

18007 Sky Park Cir Ste F
Irvine, CA 92614-6515
Phone (832) 583-3722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818003478 CA Part B Supplier - Independent Clinical Laboratory 0446633721 Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

18007 Sky Park Cir
Ste F
Irvine, CA 92614
Phone (832) 583-3722

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1063187938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18007 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146515",
            "telephone_number": "832-583-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18007 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146515",
            "telephone_number": "832-583-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MOINUDDIN",
        "authorized_official_first_name": "MIRZA SULTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-583-3722"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.