Organization Active NPI

International Medical Laboratory

Doing business as Pacific Medical Laboratory

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1346467354
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
X558861 Issued in CA
Legal business name
INTERNATIONAL MEDICAL LABORATORY
Doing business as
Pacific Medical Laboratory
Practice address
15 Corporate Park
Irvine, CA 92606-5119
Phone
(714) 972-2222
Fax
(714) 972-2221
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Lemir Kazem Harfouche
Title
Managing Member
Phone
(714) 972-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X X558861 CA Primary

Addresses

Primary practice location

15 Corporate Park
Irvine, CA 92606-5119

Mailing address

15 Corporate Park
Irvine, CA 92606-5119
Phone (714) 972-2222

Other identifiers 2

IdentifierTypeStateIssuer
X558861OtherCAPTAN
LAB58861FMedicaidCA

Other names 1

  • Pacific Medical Laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040306000204 CA Part B Supplier - Independent Clinical Laboratory 1759279227 Practice locations: Irvine, CA

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
05D0692370International Medical Laboratory15 Corporate Park, Irvine, CA 92606ComplianceDec 4, 2026

National Provider Directory

National Provider Directory

Locations

3545 Howard Way
#110
Costa Mesa, CA 92626
Phone (714) 972-2222

16253 Laguna Canyon Rd
Ste 100
Irvine, CA 92618
Phone (310) 858-0505

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1346467354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065119",
            "telephone_number": "714-972-2222",
            "fax_number": "714-972-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065119",
            "telephone_number": "714-972-2222",
            "fax_number": "714-972-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "HARFOUCHE",
        "authorized_official_first_name": "LEMIR KAZEM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "714-972-2222"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "X558861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "X558861",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58861F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Medical Laboratory",
            "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 Apr 13, 2026; 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.