Illuminate Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ILLUMINATE DIAGNOSTICS INC

Practice address

2670 N Main St Ste 101
Santa Ana, CA 92705-6639

Phone

(562) 231-6828

Fax

(562) 403-1401

NPI assigned

Feb 21, 2022

Organization subpart

No

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

Authorized official

Name

Alex Kang

Title

Managing Member

Phone

(949) 689-3154

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1669127346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 N MAIN ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056639",
            "telephone_number": "562-231-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 N MAIN ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056639",
            "telephone_number": "562-231-6828",
            "fax_number": "562-403-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-689-3154"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Ignacio
• Elizabeth Anne Ignash, LMFT, APCC
• Shirin Aziz Ihani, P.T.
• Hidenori Mutsuo Ikuhara, M.D.
• Russel Mendoza Ilagan, RN,BSN
• Ye Kyeom Im, OTD
• Image Orthopedic Lab, Inc.
• Imaging Centers Direct LLC (Dedicated Medical Imaging Center)
• Imran Imam, M.D.
• Iman Malek Hedayat DDS Inc

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, 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 20, 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.