Pan Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00343493 Issued in CA

Legal business name

PAN LABORATORIES

Practice address

15375 Barranca Pkwy
Suite - E-101
Irvine, CA 92618-2217

Phone

(949) 336-4800

Fax

(949) 336-4801

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jothibai Pandian

Title

Ceo

Phone

(949) 336-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1740628312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY",
            "address_2": "SUITE - E-101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182217",
            "telephone_number": "949-336-4800",
            "fax_number": "949-336-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY",
            "address_2": "SUITE - E-101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182217",
            "telephone_number": "949-336-4800",
            "fax_number": "949-336-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "PANDIAN",
        "authorized_official_first_name": "JOTHIBAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-336-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00343493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2051927",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Palladino, N.D.
• Lindsay Lee Palmer, PSY.D
• Lori Kathleen Palmerton, LMFT
• Mariel Elizabeth Palumbi, NP
• Pamela I. Wu O.D. Inc.
• Sarah Abigail Zhen-Zhen Pan, DDS
• Edmund Ray Hernandez Pana, M.D.
• Mahtab Panah
• Alireza Panahpour, DDS
• Kiana Panbechi, DO

• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, 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 Jun 5, 2013; 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.