Active NPI
L&L Diagnostics LLC
- Clinical Medical Laboratory
- Covina, CA
National Provider Identifier
1821679317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- L&L DIAGNOSTICS LLC
- Practice address
- 908 N Citrus Ave
Covina, CA 91722-2737 - Phone
- (626) 598-4706
- Fax
- (626) 270-5003
- NPI assigned
- Apr 16, 2021
- 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
- Gia Lee
- Title
- President
- Phone
- (626) 598-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
908 N Citrus Ave
Covina, CA 91722-2737
Mailing address
908 N Citrus Ave
Covina, CA 91722-2737
Phone (626) 598-4706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210812000725 | CA | Part B Supplier - Independent Clinical Laboratory | 2860896883 | Practice locations: Covina, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2229525 | L&L Diagnostics, LLC | Compliance | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
2204 E 4th St
Ste 103
Santa Ana, CA 92705
Phone (877) 509-0376
8006 Cameron Rd
Ste A
Austin, TX 78754
Phone (512) 222-7177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1821679317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N CITRUS AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917222737",
"telephone_number": "626-598-4706",
"fax_number": "626-270-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N CITRUS AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917222737",
"telephone_number": "626-598-4706",
"fax_number": "626-270-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L&L DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-16",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "GIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-598-4706"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.