Matrix Diagnostics Inc

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

MATRIX DIAGNOSTICS INC

Practice address

330 N Brand Blvd Suite 700
Glendale, CA 91203

Phone

(833) 701-2089

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Frank Lee

Title

Administrator

Phone

(408) 444-0040

Specialties & licenses 1

Addresses

Other names 1

• Matrix Diagnostics Doing business as

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1346914843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 EL CAMINO REAL STE 1172",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063314",
            "telephone_number": "833-701-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD SUITE 700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "833-701-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-444-0040"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matrix Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Pathology/Laboratory Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.