Active NPI
Michael Peters
- Clinical Medical Laboratory
- Laguna Beach, CA
National Provider Identifier
1609533280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 31542 Coast Hwy Ste 3
Laguna Beach, CA 92651-6987 - Phone
- (702) 203-7301
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
31542 Coast Hwy Ste 3
Laguna Beach, CA 92651-6987
Mailing address
601 S 10TH St # 201a
Las Vegas, NV 89101-7027
Phone (702) 203-7301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laguna DX Inc | Clinical Medical Laboratory | Current | Accepting new patients |
Locations
31542 Coast Hwy
Ste 3
Laguna Beach, CA 92651
Phone (702) 203-7301
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Laguna Beach, CA
- NPI 1508523580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1609533280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S 10TH ST # 201A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891017027",
"telephone_number": "702-203-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31542 COAST HWY STE 3",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516987",
"telephone_number": "702-203-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.