Organization Active NPI

Superior Toxicology Management ,LLC

  • Clinical Medical Laboratory
  • Mission Viejo, CA
National Provider Identifier
1215377882
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUPERIOR TOXICOLOGY MANAGEMENT ,LLC
Practice address
22471 Ivy RDG
Mission Viejo, CA 92692-4549
Phone
(949) 654-9004
Fax
(949) 654-9005
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Mr. Mike M. Rakab
Title
Managr
Phone
(949) 645-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

22471 Ivy RDG
Mission Viejo, CA 92692-4549

Mailing address

PO Box 50340
Irvine, CA 92619-0340
Phone (949) 456-9004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1215377882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190340",
            "telephone_number": "949-456-9004",
            "fax_number": "949-645-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 IVY RDG",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924549",
            "telephone_number": "949-654-9004",
            "fax_number": "949-654-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR TOXICOLOGY MANAGEMENT ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "RAKAB",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGR",
        "authorized_official_telephone_number": "949-645-9004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.