Active NPI
Diagnostic Laboratory Science, Inc
- Clinical Medical Laboratory
- Garden Grove, CA
National Provider Identifier
1861413023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF00011540
- Legal business name
- DIAGNOSTIC LABORATORY SCIENCE, INC
- Practice address
- Diagnostic Laboatory Science, Inc.
7711 Garden Grove Blvd
Garden Grove, CA 92841-4207 - Phone
- (310) 787-7022
- Fax
- (310) 787-7010
- NPI assigned
- Jul 22, 2006
- 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
- Mr. Firas Tamary
- Title
- Ceo
- Phone
- (562) 673-6137
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF 11540 | CA | |
| Clinical Medical Laboratory | 291U00000X | CLF00011540 | CA | Primary |
Addresses
Primary practice location
Diagnostic Laboatory Science, Inc.
7711 Garden Grove Blvd
Garden Grove, CA 92841-4207
Mailing address
7711 Garden Grove Blvd
Garden Grove, CA 92841-4207
Phone (310) 787-7022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB57076F | Medicaid | CA | |
| 1861413023 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120725001035 | CA | Part B Supplier - Independent Clinical Laboratory | 8921264599 | Practice locations: Garden Grove, CA |
National Provider Directory
National Provider DirectoryLocations
7711 Garden Grove Blvd
Garden Grove, CA 92841
Phone (310) 787-7022
2720 Monterey St
Ste 406
Torrance, CA 90503
Phone (310) 787-7022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1861413023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414207",
"telephone_number": "310-787-7022",
"fax_number": "310-787-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DIAGNOSTIC LABOATORY SCIENCE, INC.",
"address_2": "7711 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928414207",
"telephone_number": "310-787-7022",
"fax_number": "310-787-7010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC LABORATORY SCIENCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "TAMARY",
"authorized_official_first_name": "FIRAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-673-6137",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF 11540",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF00011540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB57076F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861413023",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.