MEDICARE: RAYAN TESTING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1528916046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAYAN TESTING SERVICES LLC

Provider Business Mailing Address
First Line	:	2550 CANYON SPRINGS PKWY STE I
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0951
Country	:	US
Telephone Number	:	909-206-5856
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 CANYON SPRINGS PKWY STE I
Second Line	:	1137
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0951
Country	:	US
Telephone Number	:	909-206-5856
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA TILLMAN
Credential	:
Telephone Number	:	909-206-5856

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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