Active NPI
Sdxray & Lab
- Physiological Laboratory
- Diamond Bar, CA
National Provider Identifier
1760706576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- LC20080000366
- Legal business name
- SDXRAY & LAB
- Practice address
- 3220 S Brea Canyon Rd
Ste B
Diamond Bar, CA 91765-3481 - Phone
- (909) 594-6469
- Fax
- (909) 348-8166
- NPI assigned
- Mar 23, 2010
- Last updated
- Feb 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kitty Wen
- Title
- Administrator
- Phone
- (909) 525-5647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | LC20080000366 | CA | Primary |
Addresses
Primary practice location
3220 S Brea Canyon Rd
Ste B
Diamond Bar, CA 91765-3481
Mailing address
PO Box 4554
Diamond Bar, CA 91765-0554
Phone (909) 594-6469
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1760706576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4554",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917650554",
"telephone_number": "909-594-6469",
"fax_number": "909-348-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 S BREA CANYON RD",
"address_2": "STE B",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653481",
"telephone_number": "909-594-6469",
"fax_number": "909-348-8166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SDXRAY & LAB",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "WEN",
"authorized_official_first_name": "KITTY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-525-5647"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "CA",
"license": "LC20080000366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.