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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INNOVATIVE DIAGNOSTIC MEDICAL GROUP

Active Organization

INNOVATIVE DIAGNOSTIC MEDICAL GROUP is a Physiological Laboratory organization located in LOS ANGELES, California. NPI 1013131796 is currently active in the NPPES registry. Verify at CMS.

Physiological Laboratory · LOS ANGELES, CA

Registration Details

NPI Number
1013131796
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.341461129055 yrs)
Last Updated
Dec 16, 2010
Licenses
A106704 (CA)
A44107 (CA)

Practice Information

Address
1801 CENTURY PARK EAST
SUITE 1040
LOS ANGELES, CA, 90067
Browse CA providers · Browse ZIP 90067
Phone
3105537980
Fax
3109433279
Primary Specialty
Physiological Laboratory
293D00000X
Additional Specialty
Physiological Laboratory

Other Physiological Laboratory Organizations in LOS ANGELES, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.