Prime DX Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIME DX LABS LLC

Practice address

744 N Eckhoff St Ste 125
Orange, CA 92868-1006

Phone

(714) 343-3726

Fax

(833) 668-2329

NPI assigned

Mar 13, 2022

Organization subpart

No

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

Authorized official

Name

Talha Khan

Title

Owner

Phone

(657) 456-1743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1912655614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N ECKHOFF ST STE 125",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681006",
            "telephone_number": "657-456-1743",
            "fax_number": "833-668-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N ECKHOFF ST STE 125",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681006",
            "telephone_number": "714-343-3726",
            "fax_number": "833-668-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DX LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-456-1743"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos A Prietto, MD
• Miguel P Prietto, MD
• Pablo P Prietto, MD
• Aleiyah Victoria Ybanez Prim
• Margaret Prima-Verbeck, MS, MFT
• Derek Stephen Prince
• Roschondra Prince
• Michael Prislin, MD
• Proactive Orthopedic Physical Therapy, Inc
• Monica Dianne Procks, M.A.

• Clinical Medical Laboratory in Orange, CA
• Providers in Orange, 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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.