Mission Toxicology, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MISSION TOXICOLOGY, LLC

Practice address

23052 Alicia Pkwy
Ste H495
Mission Viejo, CA 92692-1643

Phone

(951) 475-7784

Fax

(951) 384-2820

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Ron Lazatin

Title

President

Phone

(951) 475-7784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1902331622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894388",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "901894388",
            "telephone_number": "951-475-7784",
            "fax_number": "951-384-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23052 ALICIA PKWY",
            "address_2": "STE H495",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921643",
            "telephone_number": "951-475-7784",
            "fax_number": "951-384-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TOXICOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-475-7784"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Medical Urgent Care
• Mission Pathology Medical Associates
• Mission Pediatric Dentistry
• Mission Pediatric Med CL
• Mission Pediatric Medical Clinic, Inc.
• Mission Trauma Surgical Medical GRP
• Mission Viejo Assisted Living LLC
• Mission Viejo Dental Associates
• Mission Viejo Emergency Medical Associates
• Mission Viejo Endoscopy Partners, LLC

• Clinical Medical Laboratory in Mission Viejo, CA
• Providers in Mission 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 May 1, 2017; 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.