Bridge Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BRIDGE DIAGNOSTICS LLC

Practice address

120 Vantis Dr Ste 570
Aliso Viejo, CA 92656-2618

Phone

(800) 803-1611

NPI assigned

May 4, 2020

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joie Lane, CPC, CHC

Title

Director RCM and Payor Relations

Phone

(678) 468-7047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1881215622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANTIS DR STE 570",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562618",
            "telephone_number": "800-803-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VANTIS DR STE 570",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562618",
            "telephone_number": "800-803-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Theory Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926173202",
            "country_code": "US",
            "telephone_number": "800-803-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JOIE",
        "authorized_official_title_or_position": "DIRECTOR RCM AND PAYOR RELATIONS",
        "authorized_official_telephone_number": "678-468-7047",
        "authorized_official_credential": "CPC, CHC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian S Bradford, DDS
• Terri Lynn Brady, ND
• Surinder P. Brar, P.T.
• Brenda Lee Brazier
• Yvonne Bergeon Brewer, MPT
• Brighter Days ABA, LLC
• Bristol Park Medical Group, Inc
• Jacqueline Jeanette Brodsky, N.P.
• Darryl Brooks, HIS
• Baylee Brown, MA, CCC-SLP

• Clinical Medical Laboratory in Aliso Viejo, CA
• Providers in Aliso Viejo, 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 Jan 18, 2024; 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.