Laboratory Diagnostics Medical Group

LBN: Laboratory Diagnostics Medical Group
Laboratory Diagnostics Medical Group is an health care organization with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1276. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Laboratory Diagnostics Medical Group can be contacted via phone (858) 626-6000, or through Carlson, Stephen via phone (858) 626-6000.

Contact Information

Primary practice address
9888 Genesee Ave La Jolla CA 92037-1276
Phone: (858) 626-6000
Fax: (419) 866-5453
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Stephen Doctor of Medicine (MD)
Phone: (858) 626-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 05D0663110 California

Profile Details

NPI number 1093742074
LBN Legal business name Laboratory Diagnostics Medical Group
DBA Doing business as
Authorized official Carlson, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093742074 NPPES
California MEDICAID GR00086691

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