Organization Active NPI

Afmc Diamond Lab

  • Clinical Medical Laboratory
  • Diamond Bar, CA
National Provider Identifier
1194493007
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AFMC DIAMOND LAB
Practice address
1370 Valley Vista Dr Ste 135
Diamond Bar, CA 91765-3950
Phone
(909) 777-8888
Fax
(909) 551-0200
NPI assigned
Sep 3, 2021
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Mrs. Evelyn N Lew
Title
Administrator
Phone
(909) 777-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1370 Valley Vista Dr Ste 135
Diamond Bar, CA 91765-3950

Mailing address

1370 Valley Vista Dr Ste 135
Diamond Bar, CA 91765-3950
Phone (909) 777-8888

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2169111Afmc Diamond Lab1370 Valley Vista Dr, Ste 135, Diamond Bar, CA 91765ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

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": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1194493007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 135",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-777-8888",
            "fax_number": "909-551-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 135",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-777-8888",
            "fax_number": "909-551-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFMC DIAMOND LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-777-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "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 Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.