M1 Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

M1 LABORATORY LLC

Practice address

3151 Airway Ave Ste M1
Costa Mesa, CA 92626-4626

Phone

(949) 278-0212

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Jeri M Rubendall, PC

Title

Director

Phone

(949) 278-0212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1154849362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR STE 750",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE M1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264626",
            "telephone_number": "949-278-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M1 LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "RUBENDALL",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-278-0212",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Joy Lynch
• Clayton Ernest Lyndsey II, LPT
• Lakesha Lynn
• Rebecca Lyons, LMFT, LPCC
• M. Zakhary DDS, Inc.
• Shannon Ma
• Chris Maa, L.AC, ATC, DACM
• Scott Nelson Macadam, D.C.
• Albert Bustos Macapagal Jr.
• Merielle Ugaban Macaraeg

• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.