Lab24, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB24, LLC

Practice address

475 Knollcrest Dr
Redding, CA 96002-0101

Phone

(530) 319-7222

Fax

(530) 319-7225

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

John Serle

Title

Owner

Phone

(530) 319-7222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1275018871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 KNOLLCREST DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020101",
            "telephone_number": "530-319-7222",
            "fax_number": "530-319-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KNOLLCREST DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020101",
            "telephone_number": "530-319-7222",
            "fax_number": "530-319-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB24, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-319-7222"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Kuyper, MA
• Sean Nikolas Kuyper, MA
• Akari Kyaw, MD
• Kelly A Kynaston, D.O.
• Kristina May La Fargo
• Laboratory Corporation of America
• Rebecca Labowe, AUD
• Michael A. Lacerda, DMD
• Cynthia Diane Lacunza, DC
• Linda Jean Lafferty, MFT

• Clinical Medical Laboratory in Redding, CA
• Providers in Redding, 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 Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.