MEDICAL DIAGNOSTIC DIGITAL CENTER , INC. (NPI# 1073747911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073747911 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC DIGITAL CENTER , INC. |
| Practice Address |
722 Nina Ln Foster City CA 94404-1721 |
| Practice Telephone | 4153709605 |
| Practice Fax Number | 6503415838 |
| Mailing Telephone | 4153709605 |
| Mailing Fax Number | 6503415838 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | MR. MARK NEYZBERG (PRESIDENT) |
| Authorized Official Telephone | 4153709605 |
| Authorized Official Credential | X-RAY TECH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | RHT70625 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | XR009995F | 05 |
| Street Address |
722 NINA LN |
| City | FOSTER CITY |
| State | CA |
| Zip Code | 94404-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
| Find all providers in zip 94404 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285906990 | Vitapath Genetics, Inc. | Clinical Medical Laboratory | 348 Hatch Dr, Foster City, CA 94404-1106 | 2012-01-27 |
| 1952601593 | Immunetech Inc | Clinical Medical Laboratory | 373 Vintage Park Dr Ste A, Foster City, CA 94404-1139 | 2010-10-29 |
| 1033526124 | Lifecode, Inc | Clinical Medical Laboratory | 348 Hatch Dr, Foster City, CA 94404-1106 | 2014-07-21 |
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| 1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
| 1588261127 | Safesite LLC | Clinical Medical Laboratory | 26660 Agoura Rd, Calabasas, CA 91302-1954 | 2020-10-07 |
| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FOSTER CITY |
| Zip Code | 94404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.