Onsite Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ONSITE LABORATORIES, LLC

Doing business as

LabLINQ Mobile

Practice address

2040 E Mariposa Ave
El Segundo, CA 90245-5027

Phone

(866) 522-5467

Fax

(866) 522-5467

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Abigail Derheim

Title

Owner and Ceo

Phone

(866) 522-5467

Specialties & licenses 1

Addresses

Other names 1

• LabLINQ Mobile Doing business as

Locations

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1225632029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781549",
            "telephone_number": "866-522-5467",
            "fax_number": "866-522-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MARIPOSA AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455027",
            "telephone_number": "866-522-5467",
            "fax_number": "866-522-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DERHEIM",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "866-522-5467"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabLINQ Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LabLINQ Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lilian Orellana

• Clinical Medical Laboratory in El Segundo, CA
• Providers in El Segundo, 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 1, 2022; 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.