Organization Active NPI

LLS Actual Diagnostics Inc

  • Physiological Laboratory
  • Pasadena, CA
National Provider Identifier
1114936432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
LLS ACTUAL DIAGNOSTICS INC
Practice address
1546 E Washington Blvd
Suite a
Pasadena, CA 91104-2657
Phone
(626) 798-2041
Fax
(626) 798-2046
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Irina Freedman
Title
Owner President
Phone
(626) 798-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1546 E Washington Blvd
Suite a
Pasadena, CA 91104-2657

Mailing address

1546 E Washington Blvd
Suite a
Pasadena, CA 91104-2657
Phone (626) 798-2041

National Provider Directory

National Provider Directory

Locations

1546 E Washington Blvd
Ste A
Pasadena, CA 91104
Phone (626) 798-2041

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114936432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 E WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042657",
            "telephone_number": "626-798-2041",
            "fax_number": "626-798-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 E WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042657",
            "telephone_number": "626-798-2041",
            "fax_number": "626-798-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLS ACTUAL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "626-798-2041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.