Active NPI
Cap Diagnostics LLC
- Clinical Medical Laboratory
- Irvine, CA
National Provider Identifier
1659655124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D2024468
- Legal business name
- CAP DIAGNOSTICS LLC
- Practice address
- 15545 Sand Canyon Ave Ste 100&200
Irvine, CA 92618-3114 - Phone
- (714) 966-1221
- Fax
- (714) 966-1231
- NPI assigned
- Oct 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Delbridge
- Title
- Compliance
- Phone
- (714) 966-1221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D2024468 | CA | Primary |
Addresses
Primary practice location
15545 Sand Canyon Ave Ste 100&200
Irvine, CA 92618-3114
Mailing address
15545 Sand Canyon Ave Ste 100&200
Irvine, CA 92618-3114
Phone (714) 966-1221
Other names 1
- Pathnostics
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | lis.XIFIN.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000249 | CA | Part B Supplier - Independent Clinical Laboratory | 1951560705 | Practice locations: Irvine, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2024468 | Cap Diagnostics LLC Dba Pathnostics | Accreditation | Jan 14, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cap Diagnostics LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Lake Mary, FL
- NPI 1508594136
-
- Clinical Medical Laboratory
- Royal Oak, MI
- NPI 1891279931
Locations
15545 Sand Canyon Ave
Ste 100
Irvine, CA 92618
7135 S Decatur Blvd
Las Vegas, NV 89118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1659655124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15545 SAND CANYON AVE STE 100&200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183114",
"telephone_number": "714-966-1221",
"fax_number": "714-966-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15545 SAND CANYON AVE STE 100&200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183114",
"telephone_number": "714-966-1221",
"fax_number": "714-966-1231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAP DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-03",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "DELBRIDGE",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "COMPLIANCE",
"authorized_official_telephone_number": "714-966-1221"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D2024468",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "lis.XIFIN.net",
"affiliation": "N",
"endpointDescription": "XIFIN LIS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HL7",
"address_1": "7135 S Decatur Blvd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891184376",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pathnostics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pathnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.