Organization Active NPI

Valley Diagnostics Inc

  • Clinical Pathology/Laboratory Medicine Physician
  • Fresno, CA
National Provider Identifier
1356427892
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
CLF11716 Issued in CA
Legal business name
VALLEY DIAGNOSTICS INC
Practice address
373 E Warner Ave
Ste 102
Fresno, CA 93710-3741
Phone
(559) 449-0366
Fax
(559) 673-9409
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Naeem Qarni
Title
President
Phone
(559) 449-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X CLF11716 CA Primary

Addresses

Primary practice location

373 E Warner Ave
Ste 102
Fresno, CA 93710-3741

Mailing address

300 E Almond Ave
Ste 104
Madera, CA 93637-5653
Phone (559) 673-9407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000845 CA Part B Supplier - Independent Clinical Laboratory 2961438205 Practice locations: Madera, CA; Fresno, CA

National Provider Directory

National Provider Directory

Locations

373 E Warner Ave
Ste 102
Fresno, CA 93710
Phone (559) 449-0366

300 E Almond Ave
Ste 104
Madera, CA 93637
Phone (559) 673-9407

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1356427892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E ALMOND AVE",
            "address_2": "STE 104",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375653",
            "telephone_number": "559-673-9407",
            "fax_number": "559-673-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E WARNER AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103741",
            "telephone_number": "559-449-0366",
            "fax_number": "559-673-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "QARNI",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-449-0366"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "CLF11716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.