Active NPI
Hemateck LLC
- Clinical Medical Laboratory
- Azusa, CA
National Provider Identifier
1083870679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF00339084
- Legal business name
- HEMATECK LLC
- Practice address
- 752 N Loren Ave
Azusa, CA 91702-2255 - Phone
- (626) 334-2000
- Fax
- (626) 334-2001
- NPI assigned
- Aug 2, 2008
- 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
- Mr. Hema Asoka Ratnayake, B SC. MED. MICRO.
- Title
- Owner/Ceo
- Phone
- (626) 334-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF00339084 | CA | Primary |
Addresses
Primary practice location
752 N Loren Ave
Azusa, CA 91702-2255
Mailing address
752 N Loren Ave
Azusa, CA 91702-2255
Phone (626) 334-2000
Other names 1
- Hemateck 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 |
|---|---|---|---|---|
| O20090708000262 | CA | Part B Supplier - Slide Preparation Facilities | 1557412327 | Practice locations: Azusa, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1107548 | Hemateck LLC | Compliance | Dec 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
752 N Loren Ave
Azusa, CA 91702
Phone (626) 334-2000
742 N Loren Ave
Azusa, CA 91702
Phone (626) 334-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1083870679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 N LOREN AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917022255",
"telephone_number": "626-334-2000",
"fax_number": "626-334-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 N LOREN AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917022255",
"telephone_number": "626-334-2000",
"fax_number": "626-334-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEMATECK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-02",
"last_updated": "2011-06-29",
"status": "A",
"authorized_official_last_name": "RATNAYAKE",
"authorized_official_first_name": "HEMA",
"authorized_official_middle_name": "ASOKA",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "626-334-2000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B SC. MED. MICRO."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00339084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hemateck LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Azusa, CA
- Somer Laurlyn Harrison, L.P.T
- Karen D Harryman, ACSW, M ED., MFA
- Deborah Sue Hawthorne
- Health-Eu, Integrative Medicine, a Professional Medical Corporation
- Kelly Lorene Heimdahl
- Judith Nicolle Hernandez-Arechiga, RDHAP
- Estanislada Hernandez
- Irene Hernandez
- Joseph Hernandez, RADT
- Vanessa N/a Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.