Laguna Hills Pathology Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAGUNA HILLS PATHOLOGY LAB LLC

Practice address

300 Utah Ave
Ste 150
South San Francisco, CA 94080-6800

Phone

(650) 835-4477

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard K. Jacques

Title

President

Phone

(615) 345-6900

Specialties & licenses 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Consolidated Pathology Inc

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1932457785

  Member Of

  NPD member

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1831440940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH AVE",
            "address_2": "STE 150",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806800",
            "telephone_number": "650-835-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA HILLS PATHOLOGY LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-345-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kwang, PHARM.D.
• Novena Ting Chui Kwok, PHARM.D.
• Sarina Kwong, PHARMD
• L and N Inc
• Samantha Jean Lacasse
• Ferdinand Laluces, DDS
• Jamie Lam
• Mary Lam
• Patrick K Lam, PHARM.D.
• Rachel Lam, RDN

• Clinical Medical Laboratory in South San Francisco, CA
• Providers in South San Francisco, 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 Apr 13, 2016; 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.