Provider Demographics
NPI:1912624040
Name:DIALOGIX LABORATORY INC
Entity type:Organization
Organization Name:DIALOGIX LABORATORY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADHITYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SUMARDIE
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:310-339-6659
Mailing Address - Street 1:570 NEVADA ST STE E
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-3139
Mailing Address - Country:US
Mailing Address - Phone:424-413-3906
Mailing Address - Fax:
Practice Address - Street 1:570 NEVADA ST STE K
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-3139
Practice Address - Country:US
Practice Address - Phone:424-413-3906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory