Organization Active NPI

Diagnostic Investments LLC

Doing business as PacShore Laboratory

  • Clinical Medical Laboratory
  • Canoga Park, CA
National Provider Identifier
1396359857
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTIC INVESTMENTS LLC
Doing business as
PacShore Laboratory
Practice address
7023 Canoga Ave Ste B
Canoga Park, CA 91303-3104
Phone
(989) 277-5070
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Jason Kendall
Title
CLS
Phone
(989) 277-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

7023 Canoga Ave Ste B
Canoga Park, CA 91303-3104

Mailing address

1560 Eto Cir
San Luis Obispo, CA 93405-7429
Phone (989) 277-5070

Other names 1

  • PacShore Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Investments LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1396359857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 ETO CIR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057429",
            "telephone_number": "989-277-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 CANOGA AVE STE B",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033104",
            "telephone_number": "989-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CLS",
        "authorized_official_telephone_number": "989-277-5070"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PacShore Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.