Organization Active NPI

Absolute Diagnostics, LLC

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1104109453
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ABSOLUTE DIAGNOSTICS, LLC
Practice address
10760 Edenoaks St
San Diego, CA 92131-3224
Phone
(858) 880-8518
Fax
(858) 693-1361
NPI assigned
Sep 23, 2011
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Mr. Mark David Arnold
Title
President and Management Memb
Phone
(858) 880-8518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10760 Edenoaks St
San Diego, CA 92131-3224

Mailing address

10760 Edenoaks St
San Diego, CA 92131-3224
Phone (858) 880-8518

National Provider Directory

National Provider Directory

Locations

9151 Chesapeake Dr
San Diego, CA 92123
Phone (858) 279-8727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1104109453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 EDENOAKS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313224",
            "telephone_number": "858-880-8518",
            "fax_number": "858-693-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 EDENOAKS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313224",
            "telephone_number": "858-880-8518",
            "fax_number": "858-693-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGEMENT MEMB",
        "authorized_official_telephone_number": "858-880-8518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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 Sep 23, 2011; 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.