Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDIVANTA DIAGNOSTIC LAB LLC
NPI 1073425625
Clinical Medical Laboratory in San Jose, CA

Active since September 18, 2026
458 BOYNTON AVE APT A2, SAN JOSE, CA 95117(945) 403-5428(945) 403-5428 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Medivanta Diagnostic Lab Llc NPPES

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

MEDIVANTA DIAGNOSTIC LAB LLC (NPI 1073425625) is a healthcare organization registered as a clinical medical laboratory in San Jose, California and active in the NPI registry since September 2026. The organization lists Sarpreet Singh, Owner, as its authorized official.

NPPES Registry Identity

NPI1073425625
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDIVANTA DIAGNOSTIC LAB LLC
Location Address458 BOYNTON AVE APT A2San Jose, CA 95117-1426
Mailing Address458 Boynton Ave Apt A2San Jose, CA 95117-1426 · (945) 403-5428 · Fax (945) 403-5428
Fax(945) 403-5428
Organization SubpartNo
Authorized OfficialSarpreet SinghOwner · (717) 268-9133
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
NPI 1073425625 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.
458 BOYNTON AVE APT A2, San Jose, CA 95117

Other Providers at the Same Location NPPES 20

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

Clinic/Center
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Durable Medical Equipment & Medical Supplies
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Durable Medical Equipment & Medical Supplies
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Clinical Medical Laboratory
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Durable Medical Equipment & Medical Supplies
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Durable Medical Equipment & Medical Supplies
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Durable Medical Equipment & Medical Supplies
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117
Clinic/Center
458 BOYNTON AVE APT A2
SAN JOSE, CA 95117

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 Medivanta Diagnostic Lab LLC's NPI number?

The NPI number for Medivanta Diagnostic Lab LLC is 1073425625. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Medivanta Diagnostic Lab LLC located?

Medivanta Diagnostic Lab LLC is located at 458 Boynton Ave Apt A2, San Jose, CA 95117. The listed phone number is (945) 403-5428.

What is Medivanta Diagnostic Lab LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Medivanta Diagnostic Lab LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.