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MAMMOTH DX
NPI 1558086108
Clinical Medical Laboratory in Lake Forest, CA

Active since October 06, 2022CLIA 05D1053414 · 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: October 4, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 4, 2023, Oct 6, 2022 (2 updates tracked since 2022).

About Mammoth Dx NPPES

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

MAMMOTH DX (NPI 1558086108) is a healthcare organization registered as a clinical medical laboratory in Lake Forest, California and active in the NPI registry since October 2022. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2026 and lists Ryan Hilton, Owner, as its authorized official.

NPPES Registry Identity

NPI1558086108
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameUNIQUE MEDI TECH, 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
Phone(949) 317-0345
Fax(949) 446-9141
Organization SubpartNo
Authorized OfficialRyan HiltonOwner · (305) 332-0669
Enumeration DateOctober 6, 2022
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1558086108 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
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Other Names 1

Doing Business AsMammoth Dx

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 05D1053414

Unique Medi Tech LLC · Lake Forest, CA
Active · expires Sep 30, 2026
CLIA Number05D1053414
Laboratory TypeIndependent
Certificate Effective DateMay 23, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Andrew Burg
Laboratory Phone(424) 391-6322
Laboratory LocationUnique Medi Tech LLC20505 Crescent Bay Dr, 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
291 services29 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
109 services30 patients
Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report 88314
This process involves staining tissue samples on slides to highlight different elements and examine them under a microscope. In some cases, the specimen is quickly frozen to preserve its structure. A detailed report is provided after interpretation of the results.
109 services30 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
109 services30 patients
Microscopic genetic analysis of nerve tissue 88356
Microscopic genetic analysis of nerve tissue is a test where a tiny sample of your nerve tissue is examined under a microscope. This helps identify any genetic changes or abnormalities that may be affecting your nervous system's health. The procedure is safe and can provide crucial insights for treatment.
105 services29 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
37 services24 patients

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.

MAMMOTH PATH SOLUTION, LLC
Clinical Medical Laboratory
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 317-0345
DR. ANDREW CHARLES BURG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (714) 726-9565
NATIONWIDE HEALTHCARE PROVIDER CORP
Independent Medical Examiner
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 505-4313
MEDPULL LLC
General Practice
20505 CRESCENT BAY DR
LAKE FOREST, CA 92630
Orange County (949) 317-0345

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 Unique Medi Tech, LLC's NPI number?

The NPI number for Unique Medi Tech, LLC is 1558086108. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Mammoth Dx.

Where is Unique Medi Tech, LLC located?

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

What is Unique Medi Tech, LLC's specialty?

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

Does Unique Medi Tech, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1053414) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Unique Medi Tech, LLC was last updated on October 4, 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.