Organization Active NPI

Axis Clinical Laboratory LLC

  • Clinical Medical Laboratory
  • Santa Ana, CA
National Provider Identifier
1912867615
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AXIS CLINICAL LABORATORY LLC
Practice address
210 W 1St St Ste 215
Santa Ana, CA 92701-8217
Phone
(312) 395-7290
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Seikh Tanvir Iqbal
Title
Ceo
Phone
(312) 395-7290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

210 W 1St St Ste 215
Santa Ana, CA 92701-8217

Mailing address

210 W 1St St Ste 215
Santa Ana, CA 92701-8217
Phone (312) 395-7290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260213000505 CA Part B Supplier - Independent Clinical Laboratory 2466932041 Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2333570Axis Clinical Laboratory210 W 1St St Ste 215, Santa Ana, CA 92701RegistrationNov 5, 2027

National Provider Directory

National Provider Directory

Locations

210 W 1st St
Ste 215
Santa Ana, CA 92701
Phone (281) 594-3177

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1912867615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 215",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927018217",
            "telephone_number": "312-395-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 1ST ST STE 215",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927018217",
            "telephone_number": "312-395-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "SEIKH",
        "authorized_official_middle_name": "TANVIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-395-7290"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.