Synergy Diagnostics Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SYNERGY DIAGNOSTICS LABORATORY, INC.

Practice address

3190 Airport Loop Dr Ste D1
Costa Mesa, CA 92626-3403

Phone

(714) 363-2317

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Michael Tran

Title

Manager

Phone

(714) 363-2317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1962043083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 AIRPORT LOOP DR STE D1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 AIRPORT LOOP DR STE D1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263403",
            "telephone_number": "714-363-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY DIAGNOSTICS LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-363-2317"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Swedlow, LMFT
• Ella Kathryn Sweeney
• Alexander Jacob Sweidan, MD
• Alex Swenor
• Jessica Rose Swierczek, PHYSICIAN ASSISTANT
• Jenna Syverson, PSYD
• Matthew K. Szkalak, DPT
• Benjamin J Szu, OD
• Viet Ta
• Jeremiah Taaca

• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, 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 Sep 30, 2019; 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.