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Afmc Diamond Lab

Organization Active NPI Clinical Medical Laboratory · Diamond Bar, CA

NPI 1194493007 · NPPES record last updated Jul 13, 2022

Key facts

NPI
1194493007
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 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
Organization subpart
No

Authorized official

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

Practitioners 1

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

  • Rafif Mousa, MD Reproductive Endocrinology Physician · Fairview Park, OH · NPI 1023425899
    NPD (past) REPRODUCTIVE ENDOCRINOLOGY

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2169111Afmc Diamond Lab
1370 Valley Vista Dr, Ste 135, Diamond Bar, CA 91765		ComplianceJul 31, 2026

National Provider Directory

Specialties & licenses

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

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

Other providers in Diamond Bar, CA

All providers in Diamond Bar, CA · Clinical Medical Laboratory in California

Sources for this page

Verify at the official NPI Registry.