NPI 1194493007 · live from the CMS NPI Registry
Afmc Diamond Lab
Clinical Medical Laboratory in Diamond Bar, CA. National Provider Identifier 1194493007, active.
NPI record
| NPI | 1194493007 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinical Medical Laboratory 291U00000X |
| Practice location | 1370 Valley Vista Dr Ste 135, Diamond Bar, CA 91765 |
| Practice phone | 909-777-8888 |
| Enumerated | September 3, 2021 |
| Last updated | July 13, 2022 |
| Authorized official | Evelyn Lew, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Reproductive Endocrinology | 207VE0102X | — |
| Clinical Medical Laboratory primary | 291U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.