Organization Active NPI

Health Diagnostics Laboratories Inc

  • Clinical Medical Laboratory
  • Encino, CA
National Provider Identifier
1457076648
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HEALTH DIAGNOSTICS LABORATORIES INC
Practice address
17835 Ventura Blvd Ste 201
Encino, CA 91316-3669
Phone
(818) 654-6220
Fax
(818) 654-6227
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Fnu Abdul Habeeb
Title
Owner
Phone
(469) 880-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17835 Ventura Blvd Ste 201
Encino, CA 91316-3669

Mailing address

17835 Ventura Blvd Ste 201
Encino, CA 91316-3669
Phone (818) 654-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221212001676 CA Part B Supplier - Independent Clinical Laboratory 3375912421 Practice locations: Encino, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2262493Health Diagnostics Laboratories Inc17835 Ventura Blvd, Ste 201, Encino, CA 91316ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

17835 Ventura Blvd
Ste 201
Encino, CA 91316
Phone (818) 654-6220

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1457076648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD STE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163669",
            "telephone_number": "818-654-6220",
            "fax_number": "818-654-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD STE 201",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163669",
            "telephone_number": "818-654-6220",
            "fax_number": "818-654-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DIAGNOSTICS LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "ABDUL HABEEB",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-880-1563"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.