Emeritus Medical Technology Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
EMERITUS MEDICAL TECHNOLOGY LLC	1336733203	2021-02-22

The organization Emeritus Medical Technology Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1336733203. Registration indicates Emeritus Medical Technology Llc is a provider of services with a specialization in Laboratories, Clinical Medical Laboratory (Clinical Medical Laboratory, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Clinical Medical Laboratory, Laboratories)

Other Names:

• EmeritusDX

Entity Type	Organization
Provider Organization	EMERITUS MEDICAL TECHNOLOGY LLC
Other Provider Organization	EMERITUSDX
Practice Office Address	12 SPECTRUM POINTE DR LAKE FOREST, CA US
Practice Office Telephone	9494187225
Practice Office Fax	9494187287
Mailing Address	12 SPECTRUM POINTE DR LAKE FOREST, CA 926302242 US
Business Telephone	9494187225
Business Fax	9494187287
Authorized Official	ROBERT EMBREE, CHIEF EXECUTIVE 9494187225

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