Organization
IRVINE DIAGNOSTIC LABORATORY
Active
Organization
IRVINE DIAGNOSTIC LABORATORY
Active
Parent organization
EQUAL DIAGNOSTIC SERVICES INC
Other names
EqualDx Test
Organization subpart
Yes
Provider details
NPI number
Legal business name
EQUAL DIAGNOSTIC SERVICES INC
Authorized official
LINDSAY DELLAMAGGIORA MD (DIRECTOR)
(949) 254-6490
Entity
Organization
Contact information
Practice address
15520 ROCKFIELD BLVD STE H1, IRVINE, CA 92618-2764
(949) 254-6490
Mailing address
15520 ROCKFIELD BLVD STE H1, IRVINE, CA 92618-2764
(949) 254-6490
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2295363
CLIA NUMBER
CA
Enumeration date
06/06/2025
Last updated
06/06/2025
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