Organization Active NPI

Cap Diagnostics LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1659655124
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D2024468 Issued in CA
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

Updated by the provider on Dec 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL lis.XIFIN.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
05D2024468Cap Diagnostics LLC Dba Pathnostics15545 Sand Canyon Avenue, Suite 100 & 200, Irvine, CA 92618AccreditationJan 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cap Diagnostics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.