Provider Demographics
NPI:1396359857
Name:DIAGNOSTIC INVESTMENTS LLC
Entity type:Organization
Organization Name:DIAGNOSTIC INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLS
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-277-5070
Mailing Address - Street 1:1560 ETO CIR
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-7429
Mailing Address - Country:US
Mailing Address - Phone:989-277-5070
Mailing Address - Fax:
Practice Address - Street 1:7023 CANOGA AVE STE B
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3104
Practice Address - Country:US
Practice Address - Phone:989-277-5070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory