Active NPI
Signal Diagnostics LLC
- Clinical Medical Laboratory
- Los Angeles, CA
National Provider Identifier
1114431087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D2081405
- Legal business name
- SIGNAL DIAGNOSTICS LLC
- Practice address
- 8885 Venice Blvd Ste 104
Los Angeles, CA 90034-3242 - Phone
- (323) 963-3450
- Fax
- (415) 534-0954
- NPI assigned
- Nov 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alexander Bradford Meshkin
- Title
- Ceo
- Phone
- (202) 262-7300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Clinical Medical Laboratory | 291U00000X | CLF00346419 | CA | |
| Clinical Medical Laboratory | 291U00000X | 05D2081405 | Primary |
Addresses
Primary practice location
8885 Venice Blvd Ste 104
Los Angeles, CA 90034-3242
Mailing address
8885 Venice Blvd Ste 104
Los Angeles, CA 90034-3242
National Provider Directory
National Provider DirectoryLocations
8885 Venice Blvd
Ste 105
Los Angeles, CA 90034
Phone (310) 838-1552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567468800000",
"number": "1114431087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 VENICE BLVD STE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 VENICE BLVD STE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343242",
"telephone_number": "323-963-3450",
"fax_number": "415-534-0954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNAL DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-29",
"last_updated": "2019-09-03",
"status": "A",
"authorized_official_last_name": "MESHKIN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-262-7300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00346419",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": "05D2081405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Victor Alexander Sigaran Jr., PTA
- Morgan Siggard, AMFT
- Erica Sigman, PT, DPT
- Melvin Monroe Sigman, M.D.
- Dayle Sigmund, LCSW
- Signature Healthcare, Inc.
- Signature Home Health Care Services, Inc.
- Signature MD Medical Clinic
- Signature Medical Clinics Inc (Urology Group of Southern California)
- Signature Urology Specialists, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.