Active NPI
Trinity Laboratory Enterprises, LLC
- Clinical Medical Laboratory
- Santa Ana, CA
National Provider Identifier
1245460401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D0580755
- Legal business name
- TRINITY LABORATORY ENTERPRISES, LLC
- Practice address
- 1125 E 17TH St
Suite N-156
Santa Ana, CA 92701-2201 - Phone
- (818) 554-1547
- NPI assigned
- Jul 22, 2009
- Last updated
- Jul 22, 2009
- 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
- John Mi Austin
- Title
- Managing Member
- Phone
- (818) 554-1547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D0580755 | CA | Primary |
Addresses
Primary practice location
1125 E 17TH St
Suite N-156
Santa Ana, CA 92701-2201
Mailing address
508 S Verdugo Dr
2ND Floor
Burbank, CA 91502-2344
Phone (818) 554-1547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0580755 | Other | CA | CLIA |
National Provider Directory
National Provider DirectoryLocations
508 S Verdugo Dr
Fl 2
Burbank, CA 91502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248220800000",
"number": "1245460401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S VERDUGO DR",
"address_2": "2ND FLOOR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022344",
"telephone_number": "818-554-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E 17TH ST",
"address_2": "SUITE N-156",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012201",
"telephone_number": "818-554-1547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY LABORATORY ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MI",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "818-554-1547"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D0580755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0580755",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.