Organization Active NPI

Medlab2020, Inc

  • Clinical Medical Laboratory
  • Madison, WI
National Provider Identifier
1982479846
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDLAB2020, INC
Practice address
567 D'Onofrio Drive
Suite 100
Madison, WI 53719-2844
Phone
(714) 947-2020
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Mr. Matthew Collins
Title
Ceo, Cfo, Secretary
Phone
(949) 791-7881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

567 D'Onofrio Drive
Suite 100
Madison, WI 53719-2844

Mailing address

300 Spectrum Center Drive
Suite 200
Irvine, CA 92618-4987
Phone (714) 947-2020

National Provider Directory

National Provider Directory
Tax ID family
Medlab2020 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

300 Spectrum Center Dr
Ste 200
Irvine, CA 92618
Phone (562) 215-2811

567 Donofrio Dr
Ste 100
Madison, WI 53719
Phone (714) 947-2020

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1982479846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPECTRUM CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184987",
            "telephone_number": "714-947-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 D'ONOFRIO DRIVE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192844",
            "telephone_number": "714-947-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB2020, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "949-791-7881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.