Active NPI
International Medical Laboratory
Doing business as Pacific Medical Laboratory
- Clinical Medical Laboratory
- Irvine, CA
National Provider Identifier
1346467354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- X558861
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X558861 | Other | CA | PTAN |
| LAB58861F | Medicaid | CA |
Other names 1
- Pacific Medical Laboratory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040306000204 | CA | Part B Supplier - Independent Clinical Laboratory | 1759279227 | Practice locations: Irvine, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0692370 | International Medical Laboratory | Compliance | Dec 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.