Active NPI
L&G Laboratory Inc
- Clinical Medical Laboratory
- Van Nuys, CA
National Provider Identifier
1447933312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- L&G LABORATORY INC
- Practice address
- 14546 Hamlin St., Unit 110
Van Nuys, CA 91411 - Phone
- (818) 479-3548
- Fax
- (818) 450-0860
- NPI assigned
- Aug 8, 2023
- Last updated
- Aug 8, 2023
- 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
- Dr. Ahsan Baseer, PHD., CLS
- Title
- Technical Supervisor
- Phone
- (714) 493-1224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
14546 Hamlin St., Unit 110
Van Nuys, CA 91411
Mailing address
14546 Hamlin St., Unit 110
Van Nuys, CA 91411
Phone (818) 479-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLF-90009918 | Other | CA | STATE LABORATORY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230901000135 | CA | Part B Supplier - Independent Clinical Laboratory | 3971966342 | Practice locations: Van Nuys, 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 |
|---|---|---|---|
| 05D2286035 | L&G Laboratory Inc | Registration | May 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
14546 Hamlin St
Ste 110
Van Nuys, CA 91411
Phone (818) 479-3548
14546 Hamlin St
Unit 110
Van Nuys, CA 91411
Phone (818) 479-3548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1447933312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14546 HAMLIN ST., UNIT 110",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91411",
"telephone_number": "818-479-3548",
"fax_number": "818-450-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14546 HAMLIN ST., UNIT 110",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91411",
"telephone_number": "818-479-3548",
"fax_number": "818-450-0860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L&G LABORATORY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "BASEER",
"authorized_official_first_name": "AHSAN",
"authorized_official_title_or_position": "TECHNICAL SUPERVISOR",
"authorized_official_telephone_number": "714-493-1224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD., CLS"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LABORATORY LICENSE NUMBER",
"identifier": "CLF-90009918",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.