Lemedix Socal Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LEMEDIX SOCAL LAB

Practice address

20523 Crescent Bay Dr
Lake Forest, CA 92630-8825

Phone

(949) 531-6062

NPI assigned

Sep 18, 2025

Last updated

Dec 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Basalat Ahmad

Title

Ceo

Phone

(949) 531-6062

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1588536783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20523 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20523 CRESCENT BAY DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308825",
            "telephone_number": "949-531-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMEDIX SOCAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "BASALAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-531-6062"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Jinju Lee, AUD
• Jay Pun Lee, PA-C
• Jieun Lee
• Kimberly Lee
• Sungeun Lee
• Judith Whitney Leonard, PNP, BC
• Johnne Leoncio, NP-C
• Brittany Leong, PTA
• LFQ Senior Care, Inc. (Lake Forest Services)
• Carol Jan Lian, L.AC

• Clinical Medical Laboratory in Lake Forest, CA
• Providers in Lake Forest, 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 Dec 1, 2025; 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.