Organization Active NPI

California Bio Lab LLC

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1952189086
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CALIFORNIA BIO LAB LLC
Practice address
18242 McDurmott W Ste J
Irvine, CA 92614-4779
Phone
(949) 769-7366
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Nate Secor
Title
Owner
Phone
(714) 623-2959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18242 McDurmott W Ste J
Irvine, CA 92614-4779

Mailing address

18242 McDurmott W Ste J
Irvine, CA 92614-4779

National Provider Directory

National Provider Directory

Locations

18242 McDurmott W
Ste J
Irvine, CA 92614
Phone (949) 769-7366

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1952189086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18242 MCDURMOTT W STE J",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18242 MCDURMOTT W STE J",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144779",
            "telephone_number": "949-769-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA BIO LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-623-2959"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.