Statdiagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STATDIAGNOSTICS LLC

Practice address

730 N Norma St
Suite B
Ridgecrest, CA 93555-3521

Phone

(760) 375-1200

Fax

(760) 375-1220

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brent Loyal Summers, PH.D., CLS

Title

Organizer

Phone

(831) 234-6684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1164859757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N NORMA ST",
            "address_2": "SUITE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553521",
            "telephone_number": "760-375-1200",
            "fax_number": "760-375-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N NORMA ST",
            "address_2": "SUITE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553521",
            "telephone_number": "760-375-1200",
            "fax_number": "760-375-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATDIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "LOYAL",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "831-234-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Drew Somerville, LVN
• Erika Lynn Southard
• Jasmine Laure'N Spriggs, DDS
• SRS-Ridgecrest
• Jennifer Anne Stack
• Marygrace Vidad Steimer, LVN
• Shannon Nichole Stephens
• Briana Stewart
• Lori Stewart
• Rose Stone, M.D.

• Clinical Medical Laboratory in Ridgecrest, CA
• Providers in Ridgecrest, 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 Sep 27, 2013; 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.