Evolve Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EVOLVE DIAGNOSTICS, LLC

Practice address

650 N Rose Dr
Suite 716
Placentia, CA 92870-7513

Phone

(310) 594-6540

NPI assigned

Jul 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lanette Bumgardner

Title

Ceo

Phone

(310) 594-6540

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1003269770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ROSE DR",
            "address_2": "SUITE 716",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707513",
            "telephone_number": "310-594-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N ROSE DR",
            "address_2": "SUITE 716",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707513",
            "telephone_number": "310-594-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "BUMGARDNER",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-594-6540"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Placentia, CA
• Providers in Placentia, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.