Organization Active NPI

Nexsun Diagnostic Laboratories LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1265191001
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXSUN DIAGNOSTIC LABORATORIES LLC
Doing business as
NEXSUN LABS
Practice address
15375 Barranca Pkwy Ste A110
Irvine, CA 92618-2203
Phone
(847) 903-5197
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Shakil Ghafoor
Title
Owner
Phone
(847) 903-5197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

15375 Barranca Pkwy Ste A110
Irvine, CA 92618-2203

Mailing address

15375 Barranca Pkwy Ste A110
Irvine, CA 92618-2203
Phone (847) 903-5197

Other names 1

  • NEXSUN LABS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2244809Nexsun Diagnostic Laboratories15375 Barranca Pkwy Ste a-110, Irvine, CA 92618AccreditationDec 6, 2026

National Provider Directory

National Provider Directory

Locations

15375 Barranca Pkwy
Ste A110
Irvine, CA 92618
Phone (847) 903-5197

142 Technology Dr
Ste 150
Irvine, CA 92618

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1265191001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182203",
            "telephone_number": "847-903-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE A110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182203",
            "telephone_number": "847-903-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXSUN DIAGNOSTIC LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "GHAFOOR",
        "authorized_official_first_name": "SHAKIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-903-5197"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEXSUN LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.