Organization Active NPI

Sprintdx LLC

Doing business as Sprint Diagnostics

  • Clinical Medical Laboratory
  • Lake Forest, CA
National Provider Identifier
1710382734
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 00339427 Issued in CA
Legal business name
SPRINTDX LLC
Doing business as
Sprint Diagnostics
Practice address
20984 Bake Pkwy Ste 106
Lake Forest, CA 92630-2172
Phone
(800) 959-2846
Fax
(949) 418-7287
NPI assigned
Nov 3, 2014
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Mr. Robert Embree
Title
Ceo
Phone
(800) 959-2846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 00339427 CA Primary

Addresses

Primary practice location

20984 Bake Pkwy Ste 106
Lake Forest, CA 92630-2172

Mailing address

20984 Bake Pkwy Ste 106
Lake Forest, CA 92630-2172
Phone (800) 959-2846

Other names 1

  • SPRINT DIAGNOSTICS Doing business as

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
05D2003251Sprint Diagnostics20984 Bake Parkway, Ste 106, Lake Forest, CA 92630ComplianceDec 9, 2027

National Provider Directory

National Provider Directory

Locations

20984 Bake Pkwy
Ste 106
Lake Forest, CA 92630
Phone (800) 959-2846

1820 Carnegie Ave
Santa Ana, CA 92705
Phone (949) 222-0680

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1710382734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20984 BAKE PKWY STE 106",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302172",
            "telephone_number": "800-959-2846",
            "fax_number": "949-418-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20984 BAKE PKWY STE 106",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302172",
            "telephone_number": "800-959-2846",
            "fax_number": "949-418-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINTDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "EMBREE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-959-2846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 00339427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINT DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.