Organization Active NPI

Dialogix Laboratory Inc

  • Clinical Medical Laboratory
  • Redlands, CA
National Provider Identifier
1912624040
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIALOGIX LABORATORY INC
Practice address
570 Nevada St Ste K
Redlands, CA 92373-3139
Phone
(424) 413-3906
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Adhitya C Sumardie, CLS
Title
Technical Director
Phone
(310) 339-6659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

570 Nevada St Ste K
Redlands, CA 92373-3139

Mailing address

570 Nevada St Ste E
Redlands, CA 92373-3139
Phone (424) 413-3906

Other names 1

  • Dialogix Laboratory L L C Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dialogixlab.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207003120 CA Part B Supplier - Independent Clinical Laboratory 2163865049 Practice locations: Redlands, 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
05D2262146Dialogix Laboratories570 Nevada St, Ste K, Redlands, CA 92373ComplianceApr 26, 2027

National Provider Directory

National Provider Directory

Locations

570 Nevada St
Ste J
Redlands, CA 92373

570 Nevada St
Ste E
Redlands, CA 92373
Phone (310) 339-6659

570 Nevada St
Ste K
Redlands, CA 92373
Phone (424) 413-3906

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1912624040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 NEVADA ST STE E",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733139",
            "telephone_number": "424-413-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEVADA ST STE K",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733139",
            "telephone_number": "424-413-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALOGIX LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "SUMARDIE",
        "authorized_official_first_name": "ADHITYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "310-339-6659",
        "authorized_official_credential": "CLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dialogixlab.com",
            "affiliation": "N",
            "endpointDescription": "Laboratory Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "570 Nevada St Ste E",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923733139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dialogix Laboratory L L C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.