NPIMap

Organization Active NPI

Genstar Labs LLC

  • Clinical Medical Laboratory
  • Brea, CA
National Provider Identifier
1437739299
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENSTAR LABS LLC
Practice address
407 W Imperial Hwy Ste H-209
Brea, CA 92821-4832
Phone
(714) 273-1453
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Mildred Decastro, NPNPI 1376884775
Title
Coo
Phone
(714) 273-1453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

407 W Imperial Hwy Ste H-209
Brea, CA 92821-4832

Mailing address

407 W Imperial Hwy Ste H-209
Brea, CA 92821-4832
Phone (714) 273-1453

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdecastro@genstarlabs.net Direct

National Provider Directory

National Provider Directory

Locations

407 W Imperial Hwy
Ste H209
Brea, CA 92821
Phone (714) 273-1453

Interoperability endpoints

  • Direct secure messaging: mdecastro@genstarlabs.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1437739299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY STE H-209",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "714-273-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY STE H-209",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "714-273-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENSTAR LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "714-273-1453",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdecastro@genstarlabs.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "407 W Imperial Hwy Ste H-209",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928214832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.