Sdi Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4725 Issued in CA

Legal business name

SDI LABS, INC

Practice address

2204 E 4TH St Ste 103
Santa Ana, CA 92705-3868

Phone

(877) 509-0376

Fax

(714) 891-8697

NPI assigned

Jul 23, 2006

Reactivated

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Alend Hassan

Title

Owner

Phone

(877) 509-0376

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SPECIALTY DIAGNOSTICS INC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Safedin Beqaj

  • Ph.D. Medical Genetics
  • Garden Grove, CA
  • NPI 1831728831

  Clinical Medical Laboratory

  NPD
• Marie Beall, M.D.

  • Maternal & Fetal Medicine Physician
  • Torrance, CA
  • NPI 1639158165
  NPD (past)
• Usha Dhar, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1699886846
  NPD (past)
• Xuanto Leduc, M.D.

  • Pediatrics Physician
  • Fountain Valley, CA
  • NPI 1710066147
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1407878358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "877-509-0376",
            "fax_number": "562-941-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "877-509-0376",
            "fax_number": "714-891-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDI LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "deactivation_date": "2021-07-19",
        "reactivation_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ALEND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-509-0376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH",
            "identifier": "CDF-00004725",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FS464A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB04725F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY DIAGNOSTICS INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Elena Scott
• Michael Fedida Scott
• Rocio Scott
• Emily Scribner
• Sofia Scurto, RBT
• SDS Clinical Trials LLC
• Nikole Seals, ACSW
• Matthew Seastrom
• Stephanie Lynn Sebach, LMFT
• Kelsey Sebastian, RBT

• Clinical Medical Laboratory in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.