Organization Active NPI

Primedraw Specimens

  • Clinical Medical Laboratory
  • Riverside, CA
National Provider Identifier
1245167972
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIMEDRAW SPECIMENS
Practice address
3579 Arlington Ave Ste 80053
Riverside, CA 92506-3915
Phone
(833) 909-0620
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Anthony Jimenez, CPT 1
Title
Ceo
Phone
(833) 909-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3579 Arlington Ave Ste 80053
Riverside, CA 92506-3915

Mailing address

3579 Arlington Ave Ste 80053
Riverside, CA 92506-3915
Phone (833) 909-0620

National Provider Directory

National Provider Directory

Locations

3579 Arlington Ave
Ste 80053
Riverside, CA 92506
Phone (833) 909-0620

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1245167972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 ARLINGTON AVE STE 80053",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063915",
            "telephone_number": "833-909-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 ARLINGTON AVE STE 80053",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063915",
            "telephone_number": "833-909-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEDRAW SPECIMENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-909-0620",
        "authorized_official_credential": "CPT 1"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.