Vedanta Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VEDANTA LABORATORIES, INC

Practice address

1020 Calle Recodo
San Clemente, CA 92673-6225

Phone

(949) 276-5553

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ron Girskis

Title

Business Operations Specialist

Phone

(949) 359-8273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1659778488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5259",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926745259",
            "telephone_number": "949-625-0376",
            "fax_number": "949-390-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CALLE RECODO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736225",
            "telephone_number": "949-276-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDANTA LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GIRSKIS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "949-359-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Van Fleet
• Margaret Anne Vanblerk, MD
• Raeanna Vanderelst
• Vanessa Neal Pediatrics
• Vaughn Sun Inc.
• Jonathan Verstegen
• Karen Sue Vesely, LMFT
• Guadalupe Villa, PTA
• Patrick Jason Viola, OTR/L
• John Allen Virag, DC

• Clinical Medical Laboratory in San Clemente, CA
• Providers in San Clemente, 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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.