Organization
ATCG LABORATORY LLC
Active
Organization
ATCG LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YTHAN LINGAT (CEO)
(949) 740-4497
Entity
Organization
Contact information
Practice address
17881 SKY PARK CIR # D-22, IRVINE, CA 92614-6304
(949) 740-4497
Mailing address
17881 SKY PARK CIR # D-22, IRVINE, CA 92614-6304
(949) 740-4497
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2104354
CLIA
CA
05
—
CLF-00348523
—
CA
Enumeration date
01/09/2025
Last updated
12/07/2025
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