Organization Active NPI

Hemateck LLC

  • Clinical Medical Laboratory
  • Azusa, CA
National Provider Identifier
1083870679
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00339084 Issued in CA
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

Updated by the provider on Jun 29, 2011

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000262 CA Part B Supplier - Slide Preparation Facilities 1557412327 Practice locations: Azusa, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1107548Hemateck LLC752 N Loren Ave, Azusa, CA 91702ComplianceDec 3, 2026

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.