Esoterix, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ESOTERIX, INC

Practice address

4301 Lost Hills Rd
Calabasas Hills, CA 91301-5358

Phone

(800) 444-9111

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly Williams

Title

VP

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Esoterix, Inc

  • Clinical Medical Laboratory
  • Englewood, CO
  • NPI 1215914585

  5092602045

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Esoterix, Inc

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1023095288

  O20050622000557

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Esoterix Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Esoterix, Inc

  • Clinical Medical Laboratory
  • Englewood, CO
  • NPI 1215914585
  NPD tax ID
• Esoterix, Inc

  • Clinical Medical Laboratory
  • Burlington, NC
  • NPI 1306842562
  NPD tax ID
• Esoterix, Inc

  • Clinical Medical Laboratory
  • Hollywood, FL
  • NPI 1679550800
  NPD tax ID
• Esoterix, Inc

  • Clinical Medical Laboratory
  • San Antonio, TX
  • NPI 1902883077
  NPD tax ID

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1962489237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566",
            "fax_number": "336-436-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LOST HILLS RD",
            "city": "CALABASAS HILLS",
            "state": "CA",
            "postal_code": "913015358",
            "telephone_number": "800-444-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESOTERIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0663070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Chan, PH.D.
• Maureen Gray, CCP
• Laurie Ann Larkin

• Clinical Medical Laboratory in Calabasas Hills, CA
• Providers in Calabasas Hills, 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 Dec 11, 2013; 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.