Organization Active NPI

L&G Laboratory Inc

  • Clinical Medical Laboratory
  • Van Nuys, CA
National Provider Identifier
1447933312
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CLF-90009918OtherCASTATE LABORATORY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901000135 CA Part B Supplier - Independent Clinical Laboratory 3971966342 Practice locations: Van Nuys, CA

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
05D2286035L&G Laboratory Inc14546 Hamlin St, Unit 110, Van Nuys, CA 91411RegistrationMay 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.