Organization Active NPI

Diagnomics Inc

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1083279830
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOMICS INC
Practice address
5795 Kearny Villa Rd
San Diego, CA 92123-1111
Phone
(858) 345-4817
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Dr. Min Seob Lee, PH.D.,
Title
Ceo
Phone
(858) 345-4817

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Molecular Genetics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0203X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5795 Kearny Villa Rd
San Diego, CA 92123-1111

Mailing address

5795 Kearny Villa Rd
San Diego, CA 92123-1111
Phone (858) 345-4817

National Provider Directory

National Provider Directory

Locations

5795 Kearny Villa Rd
San Diego, CA 92123
Phone (858) 345-4817

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1083279830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 KEARNY VILLA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231111",
            "telephone_number": "858-345-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 KEARNY VILLA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231111",
            "telephone_number": "858-345-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIN SEOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-345-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.