Organization Active NPI

RDR Holdings LLC

Doing business as Trulab DX

  • Clinical Medical Laboratory
  • Murrieta, CA
National Provider Identifier
1326658097
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RDR HOLDINGS LLC
Doing business as
Trulab DX
Practice address
26359 Jefferson Ave Ste G
Murrieta, CA 92562-6975
Phone
(760) 230-9080
NPI assigned
Aug 6, 2020
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Mr. Brandon D Rainone
Title
Owner
Phone
(760) 230-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

26359 Jefferson Ave Ste G
Murrieta, CA 92562-6975

Mailing address

26359 Jefferson Ave Ste G
Murrieta, CA 92562-6975
Phone (760) 230-9080

Other names 2

  • TRULAB DX Doing business as
  • Balboa Dx Laboratory Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211203002018 CA Part B Supplier - Independent Clinical Laboratory 6507256609 Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

26359 Jefferson Ave
Ste G
Murrieta, CA 92562
Phone (470) 649-4228

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1326658097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26359 JEFFERSON AVE STE G",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626975",
            "telephone_number": "760-230-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26359 JEFFERSON AVE STE G",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626975",
            "telephone_number": "760-230-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDR HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "RAINONE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-230-9080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRULAB DX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balboa Dx Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.