I2 LABORATORY LLC (NPI# 1013491323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013491323 |
| Entity Type | Organization |
| Organization Name | I2 LABORATORY LLC |
| Practice Address |
3151 Airway Ave Ste M1 Costa Mesa CA 92626-4626 |
| Practice Telephone | 9492780212 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | MICHAEL TRAN (MANAGER) |
| Authorized Official Telephone | 7143632317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3151 Airway Ave Ste I2, Costa Mesa, CA 926264624 | 9492782012 |
| Street Address |
3151 AIRWAY AVE STE M1 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025916 | Integritox Laboratories, LLC | Clinical Medical Laboratory | 3151 Airway Ave Ste M1, Costa Mesa, CA 92626-4626 | 2017-03-29 |
| 1154849362 | M1 Laboratory LLC | Clinical Medical Laboratory | 3151 Airway Ave Ste M1, Costa Mesa, CA 92626-4626 | 2017-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043083 | Synergy Diagnostics Laboratory, Inc. | Clinical Medical Laboratory | 3190 Airport Loop Dr Ste D1, Costa Mesa, CA 92626-3403 | 2019-09-30 |
| 1184195109 | Pacific Analytics LLC | Clinical Medical Laboratory | 3189 Airway Ave Ste C, Costa Mesa, CA 92626-4612 | 2018-12-17 |
| 1124554027 | Playa House, Inc. | Clinical Medical Laboratory | 2858 Drake Ave, Costa Mesa, CA 92626 | 2017-05-11 |
| 1871025916 | Integritox Laboratories, LLC | Clinical Medical Laboratory | 3151 Airway Ave Ste M1, Costa Mesa, CA 92626-4626 | 2017-03-29 |
| 1942656954 | Grace Shores Recovery, LLC | Clinical Medical Laboratory | 2554 Elden Ave, B103, Costa Mesa, CA 92627-5127 | 2016-05-09 |
| 1730570987 | Us Lab, Inc | Clinical Medical Laboratory | 3194 Airport Loop Dr, Ste. A, Costa Mesa, CA 92626-3405 | 2015-02-10 |
| 1477943496 | Clean & Sober Living Corp | Clinical Medical Laboratory | 260 Victoria St Apt C1, Costa Mesa, CA 92627-6002 | 2015-01-29 |
| 1659779643 | Element 7 Labs LLC | Clinical Medical Laboratory | 3189 Airway Ave, Suite D, Costa Mesa, CA 92626-4612 | 2014-12-08 |
| 1942617295 | Grace Shores Recovery, LLC | Clinical Medical Laboratory | 3170 Manistee Dr, Costa Mesa, CA 92626-3124 | 2014-07-18 |
| 1497019111 | Breakwater Medical Group LLC | Clinical Medical Laboratory | 357 Victoria St, Suite 2, Costa Mesa, CA 92627-1931 | 2012-06-27 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.