MIRA DX INC
NPI 1265742100
Clinical Medical Laboratory in Los Angeles, CA

Active since October 13, 2010CLIA 07D2006340 · Accreditation
11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVEL, LOS ANGELES, CA 90025(424) 387-8100(424) 387-8101 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 5, 2024, May 15, 2024 (2 updates tracked since 2024).

About Mira Dx Inc NPPES

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

MIRA DX INC (NPI 1265742100), doing business as 3primir, Inc., is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since October 2010. The organization holds an CLIA Accreditation certificate valid through October 31, 2027 and lists Joanne Barnes Weidhaas, Founder, as its authorized official.

NPPES Registry Identity

NPI1265742100
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMIRA DX INC
Location Address11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVELLos Angeles, CA 90025
Mailing Address11601 Wilshire Blvd., Suite 2410Los Angeles, CA 90025 · (424) 387-8100 · Fax (424) 387-8101
Fax(424) 387-8101
Organization SubpartNo
Authorized OfficialJoanne Barnes WeidhaasFounder · (424) 387-8100
Enumeration DateOctober 13, 2010
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1265742100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Licenses✔ Licensed in CA · 07D2006340✔ Licensed in CT · CL-0672
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.
11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVEL, Los Angeles, CA 90025

Other Names 1

Former Legal Business Name3primir, Inc.

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 Accreditation 07D2006340

Mira Dx, Inc · Los Angeles, CA
Active · expires Oct 31, 2027
CLIA Number07D2006340
Laboratory TypeIndependent
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Milhan Telatar
Laboratory Phone(424) 387-8100
Laboratory LocationMira Dx, Inc11601 Wilshire Blvd Ste 105, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Mira Dx Inc's NPI number?

The NPI number for Mira Dx Inc is 1265742100. It was assigned to this organization in the NPPES registry on October 13, 2010. The provider was formerly known as 3primir, Inc..

Where is Mira Dx Inc located?

Mira Dx Inc is located at 11601 Wilshire Blvd., Suite 105 Plaza Level, Los Angeles, CA 90025. The listed phone number is (424) 387-8100.

What is Mira Dx Inc's specialty?

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

Does Mira Dx Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 07D2006340) is associated with this NPI, valid through October 31, 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 Mira Dx Inc was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.