Organization Active NPI

L&L Diagnostics LLC

  • Clinical Medical Laboratory
  • Covina, CA
National Provider Identifier
1821679317
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on May 5, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210812000725 CA Part B Supplier - Independent Clinical Laboratory 2860896883 Practice locations: Covina, 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
05D2229525L&L Diagnostics, LLC908 N Citrus Ave, Covina, CA 91722ComplianceMar 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.