Organization Active NPI

Medea Testing Solutions LLC

  • Clinical Medical Laboratory
  • Pleasanton, CA
National Provider Identifier
1396416855
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDEA TESTING SOLUTIONS LLC
Practice address
351 Saint Mary St
Pleasanton, CA 94566-6540
Phone
(925) 425-9282
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Brandon Laidlaw
Title
Owner
Phone
(925) 425-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

351 Saint Mary St
Pleasanton, CA 94566-6540

Mailing address

351 Saint Mary St
Pleasanton, CA 94566-6540

Other names 1

  • MEDEA TESTING SOLUTIONS Doing business as

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
05D2223561Medea Inc Dba Medea Testing Solutions351 Saint Mary Street, Pleasanton, CA 94566Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

351 Saint Mary St
Pleasanton, CA 94566
Phone (916) 769-6210

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1396416855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SAINT MARY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SAINT MARY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666540",
            "telephone_number": "925-425-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEA TESTING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "LAIDLAW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-425-9282"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDEA TESTING SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.