MIRA DX INC
MIRA DX INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1265742100, based in Los Angeles, CA. It is classified under Clinical Medical Laboratory.
Getting there
The practice address on file is 11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVEL, Los Angeles, CA 90025. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CL-0672 | CT | Clinical Medical Laboratory |
| 07D2006340 | CA | Clinical Medical Laboratory primary |
Licences are recorded in 2 states: CT, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Part B Supplier - Independent Clinical Laboratory
- PAC ID
- 2163956418
- Enrollment ID
- O20241111000176
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Clinical Laboratory. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Connecticut. The practice address on file is in Los Angeles, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 07D2006340
- Specialty
- Clinical Medical Laboratory
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Medical Laboratory covers
(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. NUCC Health Care Provider Taxonomy, code 291U00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | CL-0672 | CT | |
| 291U00000X | Clinical Medical Laboratory | 07D2006340 | CA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1265742100 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 13, 2010 |
| Last updated | Nov 5, 2024 |
| Status | Active |
| Practice address |
11601 WILSHIRE BLVD., SUITE 105 PLAZA LEVEL Los Angeles, CA 90025 (424) 387-8100 Fax (424) 387-8101 |
| Mailing address |
11601 WILSHIRE BLVD., SUITE 2410 Los Angeles, CA 90025 |
| Other names |
3primir, Inc. Professional Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 7 | 4 | 2 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 5 | 4 | 4 | 1 | 0 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.