Prime Dx Labs LLC
NPI 1912655614 · Clinical Medical Laboratory · Moreno Valley, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Dx Labs LLC is a Clinical Medical Laboratory organization in Moreno Valley, CA (NPI 1912655614).
Provider details
- NPI number
- 1912655614
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Talha Khan, Owner(657) 456-1743
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-13
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Prime Dx Labs LLC's NPI number?
- Prime Dx Labs LLC's National Provider Identifier (NPI) is 1912655614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Dx Labs LLC?
- Prime Dx Labs LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Prime Dx Labs LLC located?
- Prime Dx Labs LLC's practice location on file with NPPES is 24060 Fir Ave Ste B, Moreno Valley, CA 92553-2895.
- What is Prime Dx Labs LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Dx Labs LLC is (714) 343-3726.
- Does Prime Dx Labs LLC accept Medicare?
- Prime Dx Labs LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Dx Labs LLC?
- The authorized official listed on Prime Dx Labs LLC's NPPES record is Talha Khan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Dx Labs LLC's NPI active?
- Yes — Prime Dx Labs LLC's NPI (1912655614) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.