Active NPI
Axis Clinical Laboratory LLC
- Clinical Medical Laboratory
- Santa Ana, CA
National Provider Identifier
1912867615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260213000505 | CA | Part B Supplier - Independent Clinical Laboratory | 2466932041 | Practice locations: Santa Ana, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2333570 | Axis Clinical Laboratory | Registration | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.