Active NPI
Inspire Diagnostics LLC
- Clinical Medical Laboratory
- Lake Forest, CA
National Provider Identifier
1366048019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA, TX
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 05D2203452 | Inspire Diagnostics, LLC | Accreditation | Aug 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.