Irvine Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IRVINE DIAGNOSTIC LABORATORY

Practice address

15520 Rockfield Blvd Ste H1
Irvine, CA 92618-2764

Phone

(949) 254-6490

NPI assigned

Jun 6, 2025

Organization subpart

Yes

Parent organization

EQUAL DIAGNOSTIC SERVICES INCAs reported in NPPES

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

Authorized official

Name

Lindsay Dellamaggiora, MD

Title

Director

Phone

(949) 254-6490

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EqualDx Test Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Irvine Diagnostic Laboratory

Locations

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1013801653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE H1",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182764",
            "telephone_number": "949-254-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE H1",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182764",
            "telephone_number": "949-254-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE DIAGNOSTIC LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EQUAL DIAGNOSTIC SERVICES INC",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "DELLAMAGGIORA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-254-6490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D2295363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EqualDx Test",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Irvine, CA
• Providers in Irvine, 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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.