Ajeeth, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AJEETH, INC.

Practice address

28041 Hawthorne Blvd Ste 211
Rancho Palos Verdes, CA 90275-3280

Phone

(310) 213-1772

Fax

(310) 606-2220

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Garun Kumar Gupta, B.S.

Title

Co-Founder

Phone

(310) 213-1772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1417541350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 PORTOBELLO DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057310",
            "telephone_number": "310-213-1772",
            "fax_number": "310-606-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28041 HAWTHORNE BLVD STE 211",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753280",
            "telephone_number": "310-213-1772",
            "fax_number": "310-606-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJEETH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GARUN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "310-213-1772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, 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 Feb 22, 2021; 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.