SDI LABS, INC (NPI# 1407878358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407878358 |
| Entity Type | Organization |
| Organization Name | SDI LABS, INC |
| Other Organization Name | SDI LABS, INC |
| Practice Address |
12634 Hoover St Garden Grove CA 92841-4165 |
| Practice Telephone | 8775090376 |
| Practice Fax Number | 5629413384 |
| Mailing Telephone | 8775090376 |
| Mailing Fax Number | 5629413384 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. OZMAN MOHIUDDIN (OWNER) |
| Authorized Official Telephone | 8775090376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLF4725 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB04725F | 05 | |
| CA | DEPT. OF HEALTH SERVICES | CLF4725 | 01 |
| Other Name | Type Code |
|---|---|
| Clinical Genetics Center | Doing Business As Name - Organization |
| SDI Labs, Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12634 Hoover St, Garden Grove, CA 928414165 | 8775090376 | 5629413384 |
| 12634 Hoover St, Garden Grove, CA 928414165 | 8883187768 | 5629413384 |
| 14241 Imperial Hwy Ste C, La Mirada, CA 906381950 | 5629416796 | 5629413384 |
| Street Address |
12634 HOOVER ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728831 | Safedin Beqaj | Medical Genetics, Ph.D. Medical Genetics | 12634 Hoover St, Garden Grove, CA 92841-4165 | 2020-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| 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 |
|---|---|---|---|---|
| 1700220530 | Laboratory Associates Business Service, Inc. | Clinical Medical Laboratory | 7291 Garden Grove Blvd Ste H, Garden Grove, CA 92841-4211 | 2013-04-23 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| 1588726624 | James R. Nickel, M.d., Inc | Clinical Medical Laboratory | 9355 Chapman Ave., Suite 102, Garden Grove, CA 92841-4306 | 2006-12-14 |
| 1700824869 | Md Associates Laboratory, Inc. | Clinical Medical Laboratory | 10372 Trask Ave, Suite E, Garden Grove, CA 92843-3200 | 2006-06-02 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
| 1972857357 | Rest Analysis L.p. | Clinical Medical Laboratory | 13252 Garden Grove Blvd, Suite #210-#212, Garden Grove, CA 92843-2204 | 2012-11-06 |
| 1740532274 | Demme Resources LLC | Clinical Medical Laboratory | 8342 Garden Grove Blvd Ste 10, Garden Grove, CA 92844-1192 | 2012-10-08 |
| 1750632550 | American Medical Diagnostic Lab | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| 1144589615 | Franklin Medical Testing | Clinical Medical Laboratory | 13896 Harbor Blvd, Unit 5c, Garden Grove, CA 92843-4045 | 2012-05-03 |
| 1447557822 | Pathlab Services Inc | Clinical Medical Laboratory | 7707 Garden Grove Blvd, Garden Grove, CA 92841-4207 | 2011-02-19 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.