Organization Active NPI

Lemedix Norcal Lab

  • Clinical Medical Laboratory
  • Pleasanton, CA
National Provider Identifier
1609748730
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LEMEDIX NORCAL LAB
Practice address
5757 Sonoma Dr Ste Aa
Pleasanton, CA 94566-7758
Phone
(949) 531-6062
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mikail Ahmad
Title
Ceo
Phone
(949) 531-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5757 Sonoma Dr Ste Aa
Pleasanton, CA 94566-7758

Mailing address

5757 Sonoma Dr Ste Aa
Pleasanton, CA 94566-7758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506003764 CA Part B Supplier - Independent Clinical Laboratory 3577031657 Practice locations: Pleasanton, 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
05D2332752Lemedix Norcal Lab5757 Sonoma Dr Ste 100a, Pleasanton, CA 94566RegistrationOct 22, 2027

National Provider Directory

National Provider Directory

Locations

5757 Sonoma Dr
Ste Aa
Pleasanton, CA 94566
Phone (949) 531-6062

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1609748730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 SONOMA DR STE AA",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 SONOMA DR STE AA",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667758",
            "telephone_number": "949-531-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMEDIX NORCAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIKAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-531-6062"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.