Active NPI
Superior Toxicology Management ,LLC
- Clinical Medical Laboratory
- Mission Viejo, CA
National Provider Identifier
1215377882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.