Organization Active NPI

Neoanalytics Laboratory Inc

  • Clinical Medical Laboratory
  • Alhambra, CA
National Provider Identifier
1740760966
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEOANALYTICS LABORATORY INC
Practice address
25 S Raymond Ave Ste 204
Alhambra, CA 91801-7144
Phone
(626) 703-4445
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Miss Rona Goh
Title
Chief Executive Officer
Phone
(626) 703-4445

Specialties & licenses 1

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

Addresses

Primary practice location

25 S Raymond Ave Ste 204
Alhambra, CA 91801-7144

Mailing address

25 S Raymond Ave Ste 204
Alhambra, CA 91801-7144
Phone (626) 703-4445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181206000936 CA Part B Supplier - Independent Clinical Laboratory 7315281060 Practice locations: Alhambra, CA

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
05D2153457Neoanalytics Laboratory25 S Raymond Ave, Ste 204, Alhambra, CA 91801ComplianceSep 17, 2027

National Provider Directory

National Provider Directory

Locations

25 S Raymond Ave
Ste 204
Alhambra, CA 91801
Phone (626) 281-6333

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1740760966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 204",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017144",
            "telephone_number": "626-703-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 204",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017144",
            "telephone_number": "626-703-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOANALYTICS LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-703-4445",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.