Innerhealth Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INNERHEALTH LABORATORY, INC

Practice address

30151B Avenida de Las Bandera Ste 100
Rancho Santa Margarita, CA 92688-2114

Phone

(949) 463-3331

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Michael M Fini, CLS, MT(ASCP)

Title

Owner/President

Phone

(949) 463-3331

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1902403926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30151B AVENIDA DE LAS BANDERA STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882114",
            "telephone_number": "949-463-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30151B AVENIDA DE LAS BANDERA STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882114",
            "telephone_number": "949-463-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERHEALTH LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-463-3331",
        "authorized_official_credential": "CLS, MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Nabil Abdelmalek Ibrahim
• Dawn-Marie Ickes, M.P.T
• Ilj Enterprises LLC
• Patricia Rose Imasa
• Infant Developmental Services
• Innerhealth Labs LLC
• Integrated Recovery Foundation 22
• Samuel H Ip, DDS
• Ryan Jacobi, PT, DPT
• Zakiat Nur-Darojat Jalilvand, DO

• Clinical Medical Laboratory in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Oct 2, 2020; 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.