Laboratory Services DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LABORATORY SERVICES DME

Practice address

245 Fischer Ave Ste A2
Costa Mesa, CA 92626-4536

Phone

(714) 363-2317

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mike Tran

Title

Principal

Phone

(714) 363-2317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1346912599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FISCHER AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264536",
            "telephone_number": "714-363-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FISCHER AVE STE A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264536",
            "telephone_number": "714-363-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY SERVICES DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-10-11",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "714-363-2317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratory Services, LLC
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• Labwest, Inc
• Shayah Lacour
• Hallie Lyn Lagestee, CMT

• Durable Medical Equipment & Medical Supplies in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.