Medical Diagnostic Laboratories
LBN: Medical Diagnostic Laboratories
Medical Diagnostic Laboratories is an health care organization with primary practice located at 3116 W March Ln Ste 200 , Stockton CA 95219-2370. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as the primary health care specialty.
Medical Diagnostic Laboratories can be contacted via phone (209) 473-6555, or through Jensen, David via phone (209) 473-6555.
Contact Information
Primary practice address
3116 W March Ln Ste 200
Stockton CA 95219-2370
Phone: (209) 473-6555
Fax: (209) 473-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | G54073 | California |
Profile Details
| NPI number | 1154436897 |
|---|---|
| LBN Legal business name | Medical Diagnostic Laboratories |
| DBA Doing business as | |
| Authorized official | Jensen, David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154436897 | NPPES |
| California | MEDICAID | 00G540730 | |
| California | Other | G54073 |
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