NPIMap

Organization Active NPI

Diagnostic Care Inc a Professional Corporation

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1235434887
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
327249 Issued in CA
Legal business name
DIAGNOSTIC CARE INC A PROFESSIONAL CORPORATION
Practice address
1012 S Robertson Blvd Ste E
Los Angeles, CA 90035-1551
Phone
(310) 652-6537
Fax
(310) 943-1919
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Mr. Sam Nickbakht
Title
President
Phone
(310) 925-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 327249 CA Primary

Addresses

Primary practice location

1012 S Robertson Blvd Ste E
Los Angeles, CA 90035-1551

Mailing address

1012 S Robertson Blvd Ste E
Los Angeles, CA 90035-1551
Phone (310) 652-6537

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Care Inc a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1012 S Robertson Blvd
Ste E
Los Angeles, CA 90035
Phone (310) 652-6537

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1235434887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S ROBERTSON BLVD STE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351551",
            "telephone_number": "310-652-6537",
            "fax_number": "310-943-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S ROBERTSON BLVD STE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351551",
            "telephone_number": "310-652-6537",
            "fax_number": "310-943-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CARE INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "NICKBAKHT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-925-1145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "327249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.