MAMMOTH PATH SOLUTION, LLC
NPI 1023883576
Clinical Medical Laboratory in Lake Forest, CA

Active since November 15, 2023CLIA 05D2291536 · Certificate of Compliance
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630(949) 317-0345(949) 446-9141 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mammoth Path Solution, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMMOTH PATH SOLUTION, LLC (NPI 1023883576) is a healthcare organization registered as a clinical medical laboratory in Lake Forest, California and active in the NPI registry since November 2023. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Ryan Hilton, Owner, as its authorized official.

NPPES Registry Identity

NPI1023883576
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMAMMOTH PATH SOLUTION, LLC
Location Address20505 CRESCENT BAY DRLake Forest, CA 92630-8825
Mailing Address20505 Crescent Bay DrLake Forest, CA 92630-8825 · (949) 317-0345 · Fax (949) 446-9141
Fax(949) 446-9141
Organization SubpartNo
Authorized OfficialRyan HiltonOwner · (305) 332-0669
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1023883576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
20505 CRESCENT BAY DR, Lake Forest, CA 92630

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2291536

Mammoth Path Solution, LLC · Lake Forest, CA
Active · expires Jul 10, 2027
CLIA Number05D2291536
Laboratory TypeIndependent
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDr. Andrew Burg
Laboratory Phone(714) 726-9565
Laboratory LocationMammoth Path Solution, LLC20505 Crescent Bay Dr, Ste A2, Lake Forest, CA 92630
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Clinical Medical Laboratory
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Independent Medical Examiner
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
General Practice
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mammoth Path Solution, LLC's NPI number?

The NPI number for Mammoth Path Solution, LLC is 1023883576. It was assigned to this organization in the NPPES registry on November 15, 2023.

Where is Mammoth Path Solution, LLC located?

Mammoth Path Solution, LLC is located at 20505 Crescent Bay Dr, Lake Forest, CA 92630. The listed phone number is (949) 317-0345.

What is Mammoth Path Solution, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Mammoth Path Solution, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2291536) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mammoth Path Solution, LLC was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.