Organization Active NPI

Newport Diagnostics Laboratory

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1124752480
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Oct 17, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030000348 CA Part B Supplier - Independent Clinical Laboratory 5092161976 Practice locations: Irvine, 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
05D2281867Newport Diagnostics Laboratory LLC18242 McDurmott W Ste C, Irvine, CA 92614ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.