Meditest Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

346204 Issued in CA

Legal business name

MEDITEST LABORATORIES

Practice address

17971 Skypark Circle
33E
Irvine, CA 92614-4394

Phone

(949) 243-0205

Fax

(888) 242-0581

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Daniel Hamic

Title

Manager

Phone

(949) 243-0205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1366850901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17971 SKYPARK CIRCLE",
            "address_2": "33E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144394",
            "telephone_number": "949-243-0205",
            "fax_number": "888-242-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 SKYPARK CIRCLE",
            "address_2": "33E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144394",
            "telephone_number": "949-243-0205",
            "fax_number": "888-242-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITEST LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "HAMIC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-243-0205"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "346204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.