Organization
SDI LABS, INC
Active
Other names
SPECIALTY DIAGNOSTICS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEND HASSAN (OWNER)
(877) 509-0376
Entity
Organization
Contact information
Practice address
2204 E 4TH ST STE 103, SANTA ANA, CA 92705-3868
(877) 509-0376
(714) 891-8697
Mailing address
2204 E 4TH ST STE 103, SANTA ANA, CA 92705-3868
(877) 509-0376
(562) 941-3384
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDF-00004725
CDPH
CA
01
—
FS464A
MEDICARE
CA
05
—
LAB04725F
—
CA
Enumeration date
07/23/2006
Last updated
12/04/2024
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