Community Diagnostic Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF10748 Issued in CA

Legal business name

COMMUNITY DIAGNOSTIC LABORATORY

Practice address

1941 Walker Ave
Monrovia, CA 91016-4846

Phone

(626) 305-5709

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Wilson

Title

Operations Manager

Phone

(626) 305-5709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851422240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 WALKER AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164846",
            "telephone_number": "626-305-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 WALKER AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164846",
            "telephone_number": "626-305-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "626-305-5709"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Combs
• McKenna Combs
• Angelina Cometto
• Natalie Comfort
• David Edward Comings, M.D.
• Community Health Alliance of Pasadena (ChapCare-Lime)
• Kathleen Compton
• Tiara Compton
• Andrea Conant
• Timmyha Conaway

• Clinical Medical Laboratory in Monrovia, CA
• Providers in Monrovia, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.