Organization
COMMUNITY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY A KAUFMAN (PRESIDENT)
(213) 944-8599
Entity
Organization
Contact information
Practice address
1503 S COAST DR STE 323, COSTA MESA, CA 92626-1528
(213) 944-8599
Mailing address
1503 S COAST DR STE 323, COSTA MESA, CA 92626-1528
(213) 944-8599
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2225869
CLIA
CA
Enumeration date
08/09/2021
Last updated
03/24/2022
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