Organization Active NPI

Inspire Diagnostics LLC

  • Clinical Medical Laboratory
  • Lake Forest, CA
National Provider Identifier
1366048019
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INSPIRE DIAGNOSTICS LLC
Practice address
26497 Rancho Pkwy S
Lake Forest, CA 92630-8326
Phone
(949) 868-4100
Fax
(949) 315-3096
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Ricardo Salas
Title
Owner
Phone
(949) 868-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

26497 Rancho Pkwy S
Lake Forest, CA 92630-8326

Mailing address

26497 Rancho Pkwy S
Lake Forest, CA 92630-8326
Phone (949) 868-4100

Other names 1

  • Inspire Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210121001320 CA Part B Supplier - Independent Clinical Laboratory 0345654026 Practice locations: Lake Forest, CA
O20210305001082 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0345654026 Practice locations: Lake Forest, CA
O20210504000763 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0345654026 Practice locations: Atlanta, GA
O20210721002941 TX Part B Supplier - Centralized Flu Biller 0345654026 Practice locations: Lake Forest, 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
05D2203452Inspire Diagnostics, LLC26497 Rancho Pkwy South, Lake Forest, CA 92630AccreditationAug 5, 2026

National Provider Directory

National Provider Directory

Locations

26497 Rancho Pkwy S
Lake Forest, CA 92630
Phone (949) 207-3315

6105 Peachtree Dunwoody Rd
Ste C125
Sandy Springs, GA 30328
Phone (949) 842-9977

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1366048019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26497 RANCHO PKWY S",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308326",
            "telephone_number": "949-868-4100",
            "fax_number": "949-315-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26497 RANCHO PKWY S",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308326",
            "telephone_number": "949-868-4100",
            "fax_number": "949-315-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-868-4100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspire Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.