Provider Demographics
NPI:1710382734
Name:SPRINTDX LLC
Entity type:Organization
Organization Name:SPRINTDX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EMBREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-959-2846
Mailing Address - Street 1:20984 BAKE PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2172
Mailing Address - Country:US
Mailing Address - Phone:800-959-2846
Mailing Address - Fax:949-418-7287
Practice Address - Street 1:20984 BAKE PKWY STE 106
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-2172
Practice Address - Country:US
Practice Address - Phone:800-959-2846
Practice Address - Fax:949-418-7287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF 00339427291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D2003251OtherCLIA