Organization Active NPI

Brio Clinical Inc

  • Clinical Medical Laboratory
  • Ontario, CA
National Provider Identifier
1508499393
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BRIO CLINICAL INC
Practice address
1910 S Archibald Ave Ste U
Ontario, CA 91761-8502
Phone
(951) 465-3500
Fax
(909) 256-0448
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Vincenzo Sorrentino
Title
Ceo
Phone
(951) 465-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1910 S Archibald Ave Ste U
Ontario, CA 91761-8502

Mailing address

1910 S Archibald Ave Ste U
Ontario, CA 91761-8502
Phone (951) 465-3500

Other identifiers 1

IdentifierTypeStateIssuer
6250043MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528001990 CA Part B Supplier - Independent Clinical Laboratory 2466851134 Practice locations: Ontario, CA

National Provider Directory

National Provider Directory
Tax ID family
Brio Clinical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1910 S Archibald Ave
Ontario, CA 91761

1910 S Archibald Ave
Ste U
Ontario, CA 91761
Phone (951) 465-3500

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1508499393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S ARCHIBALD AVE STE U",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618502",
            "telephone_number": "951-465-3500",
            "fax_number": "909-256-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S ARCHIBALD AVE STE U",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618502",
            "telephone_number": "951-465-3500",
            "fax_number": "909-256-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIO CLINICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SORRENTINO",
        "authorized_official_first_name": "VINCENZO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-465-3500"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6250043",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.