Immunology Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMMUNOLOGY DIAGNOSTICS LLC

Practice address

1735 Stewart St Ste B
Santa Monica, CA 90404-4021

Phone

(310) 444-1215

Fax

(310) 861-9004

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Danny A Milner, MDNPI 1033158167

Title

Director

Phone

(310) 444-1215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny A Milner Jr.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joshua Tree, CA
  • NPI 1033158167
  NPD (past) Authorized official
• Bruce S Gillis, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1013945542
  NPD
• Joanna Lesli Gillis, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1942755517
  NPD (past)

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1134825219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10655",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133655",
            "telephone_number": "310-444-1215",
            "fax_number": "310-861-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 STEWART ST STE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044021",
            "telephone_number": "310-444-1215",
            "fax_number": "310-861-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNOLOGY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-444-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Iker, MD
• Yashar Ilkhchoui, M.D.
• Taylin Eun-Hae Im
• Imagebased Surgicenter Corporation
• Elika Imandel, RDN
• Jessica Improta, LCSW
• Gina Kim In, MD
• Infortel Medical Group
• Infusion Connections Home Health Services, Inc.
• Infusion Connections Pharmacy Services Inc

• Clinical Medical Laboratory in Santa Monica, CA
• Providers in Santa Monica, 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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.