# INLAND EMPIRE DIAGNOSTICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205127941
- **Authorized official:** MR. KRISTOFER KISNER (OWNER)
- **Authorized official phone:** (951) 454-2673

## Contact information

- **Practice address:** 77711 FLORA RD STE 110, PALM DESERT, CA 92211-4103
- **Practice address phone:** (760) 507-1156
- **Practice address fax:** (800) 490-0801
- **Mailing address:** 77711 FLORA RD STE 110, PALM DESERT, CA 92211-4103
- **Mailing address phone:** (760) 507-1156
- **Mailing address fax:** (800) 490-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | — |
| 246Z00000X | Other Specialist/Technologist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 03/19/2026
