Active NPI
Newport Diagnostics Laboratory
- Clinical Medical Laboratory
- Irvine, CA
National Provider Identifier
1124752480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEWPORT DIAGNOSTICS LABORATORY
- Practice address
- 18242 McDurmott W Ste C
Irvine, CA 92614-4773 - Phone
- (949) 309-1632
- NPI assigned
- Jul 13, 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
- Mr. Joseph Hinshaw
- Title
- Operations Manager
- Phone
- (949) 468-8447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
18242 McDurmott W Ste C
Irvine, CA 92614-4773
Mailing address
18242 McDurmott W Ste C
Irvine, CA 92614-4773
Phone (949) 385-3535
Other names 1
- Newport Diagnostics Laboratory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231030000348 | CA | Part B Supplier - Independent Clinical Laboratory | 5092161976 | Practice locations: Irvine, 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 |
|---|---|---|---|
| 05D2281867 | Newport Diagnostics Laboratory LLC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
18242 McDurmott W
Ste C
Irvine, CA 92614
Phone (415) 231-2968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1124752480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18242 MCDURMOTT W STE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144773",
"telephone_number": "949-385-3535",
"fax_number": "949-528-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18242 MCDURMOTT W STE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144773",
"telephone_number": "949-309-1632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT DIAGNOSTICS LABORATORY",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "HINSHAW",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "949-468-8447",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newport Diagnostics Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
- Salena Elizabeth Newcomb
- Dean Alexander Newcombe, DC
- Samuel A Newman, M.F.T.
- Newport Beach Doula LLC
- Newport Beach OB/GYN Medical Group
- Newport Neurohospitalist Medical Group
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalist Medical Group, Inc
- Newport Neurohospitalists Medical Group, Inc
- Newport Palliative Care, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.