NPI Details
MEDICAL DIAGNOSTIC LABORATORY LLC is a clinical medical laboratory in La Verne, CA. The provider is (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. MEDICAL DIAGNOSTIC LABORATORY LLC NPI is 1023253556. The provider is registered as an organization entity type.
The provider's business location address is:
1330 ARROW HWY
LA VERNE, CA
ZIP 91750-218
Phone: (626) 303-8674
Fax: (626) 256-9098
The provider's authorized official is Fausto Mendez .
The authorized official title is Managing Member and has the following contact phone number (626) 303-8674.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled (HCPCS:P9603)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source (HCPCS:G2023)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge (HCPCS:P9604)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Bacterial colony count, urine (HCPCS:87086)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
- Urine microalbumin (protein) level (HCPCS:82043)
- Blood test, clotting time (HCPCS:85610)
- Uric acid level, blood (HCPCS:84550)
- Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
- Thyroxine (thyroid chemical), total (HCPCS:84436)
- Iron level (HCPCS:83540)
- Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
- Magnesium level (HCPCS:83735)
- Ferritin (blood protein) level (HCPCS:82728)
- Folic acid level, serum (HCPCS:82746)
- Iron binding capacity (HCPCS:83550)
- Liver function blood test panel (HCPCS:80076)
- Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
- Measurement c-reactive protein for detection of infection or inflammation, high sensitivity (HCPCS:86141)
- Coagulation assessment blood test, plasma or whole blood (HCPCS:85730)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Phosphate level (HCPCS:84100)
- Thyroid hormone, t3 measurement, total (HCPCS:84480)
- Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
- Measurement of antibody for assessment of autoimmune disorder, any method (HCPCS:86235)
- Lipase (fat enzyme) level (HCPCS:83690)
- Thyroid hormone evaluation (HCPCS:84479)
- 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
- Carcinoembryonic antigen (cea) protein level (HCPCS:82378)
- Prealbumin (protein) level (HCPCS:84134)
- Testosterone (hormone) level, total (HCPCS:84403)
- Rheumatoid factor level (HCPCS:86431)
- Parathormone (parathyroid hormone) level (HCPCS:83970)
- Stool analysis for blood to screen for colon tumors (HCPCS:82270)
- Amylase (enzyme) level (HCPCS:82150)
- Syphilis detection test (HCPCS:86592)
- Vitamin d-3 level (HCPCS:82306)
- Sex hormone binding globulin (protein) level (HCPCS:84270)
- Hepatitis c antibody measurement (HCPCS:86803)
- Tuberculosis test, enumeration of t-cells (HCPCS:86481)
- Screening test for autoimmune disorder (HCPCS:86038)
- Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9 (HCPCS:86301)
- Psa (prostate specific antigen) measurement, free (HCPCS:84154)
- Hepatitis b surface antibody measurement (HCPCS:86706)
- Valproic acid level, total (HCPCS:80164)
- Bacterial culture, any other source except urine, blood or stool, aerobic (HCPCS:87070)
- Glutamyltransferase (liver enzyme) level (HCPCS:82977)
- Lactate dehydrogenase (enzyme) level (HCPCS:83615)
- Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique (HCPCS:87491)
- Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS:87591)
- Red blood count, manual test (HCPCS:85044)
- Acute hepatitis panel (HCPCS:80074)
- Homocysteine (amino acid) level (HCPCS:83090)
- Detection test by immunoassay technique for hepatitis b surface antigen (HCPCS:87340)
- Measurement of total estradiol (hormone) (HCPCS:82670)
- Immunologic analysis for detection of tumor antigen, quantitative; ca 125 (HCPCS:86304)
- Hepatitis b core antibody measurement (HCPCS:86704)
- Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies (HCPCS:87389)
- Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
- Bilirubin level, direct (HCPCS:82248)
- Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
- Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
- Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
- Measurement of hepatitis a antibody (HCPCS:86708)
- Measurement for strep antibody (strep throat) (HCPCS:86060)
- Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 3-5 targets (HCPCS:87505)
- Microsomal antibodies (autoantibody) measurement (HCPCS:86376)
- Vancomycin (antibiotic) level (HCPCS:80202)
- Gonadotropin, follicle stimulating (reproductive hormone) level (HCPCS:83001)
- Measurement of complement (immune system proteins), antigen, (HCPCS:86160)
- Measurement of antibody for rheumatoid arthritis assessment (HCPCS:86200)
- Measurement of dna antibody, native or double stranded (HCPCS:86225)
- Triglycerides level (HCPCS:84478)
- T cell count and ratio, including ratio (HCPCS:86360)
- Detection test by nucleic acid for hiv-1 virus, quantification (HCPCS:87536)
- Lithium level (HCPCS:80178)
- Ammonia level (HCPCS:82140)
- Gonadotropin, luteinizing (reproductive hormone) level (HCPCS:83002)
- Total protein level, urine (HCPCS:84156)
- Thyroglobulin (thyroid protein) antibody measurement (HCPCS:86800)
- Phenytoin level, total (HCPCS:80185)
- Kidney function blood test panel (HCPCS:80069)
- Analysis for antibody to herpes simplex virus, type 1 (HCPCS:86695)
- Blood group typing (abo) (HCPCS:86900)
- Analysis for antibody to herpes simplex virus, type 2 (HCPCS:86696)
- Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision (HCPCS:G0123)
- Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
- Insulin measurement, total (HCPCS:83525)
- Blood typing for rh (d) antigen (HCPCS:86901)
- Stool analysis for blood, by peroxidase activity (HCPCS:82272)
- Transferrin (iron binding protein) level (HCPCS:84466)
- Digoxin level, total (HCPCS:80162)
- Detection test by nucleic acid for clostridium difficile, amplified probe technique (HCPCS:87493)
- Alpha-fetoprotein (afp) level, serum (HCPCS:82105)
- Analysis for antibody to helicobacter pylori (gastrointestinal bacteria) (HCPCS:86677)
- T cells count, total (HCPCS:86359)
- Albumin (protein) level (HCPCS:82040)
- Stool culture (HCPCS:87045)
- C-peptide (protein) level (HCPCS:84681)
- Blood creatinine level (HCPCS:82565)
- Prolactin (milk producing hormone) level (HCPCS:84146)
- Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets (HCPCS:87631)
- Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
- Progesterone (reproductive hormone) level (HCPCS:84144)
- Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
- Analysis for antibody to herpes simplex virus (HCPCS:86694)
- Blood glucose (sugar) level (HCPCS:82947)
- Cortisol (hormone) measurement, total (HCPCS:82533)
- Carbamazepine level, total (HCPCS:80156)
- Ige (immune system protein) level (HCPCS:82785)
- Calcium level, total (HCPCS:82310)
- Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
- Phosphatase, prostatic (prostate enzyme) level (HCPCS:84066)
- Blood potassium level (HCPCS:84132)
- Phenobarbital level (HCPCS:80184)
- Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool (HCPCS:87338)
- Vitamin b-1 (thiamine) level (HCPCS:84425)
- Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets (HCPCS:87507)
- Analysis for antibody, treponema pallidum (HCPCS:86780)
- Ldl cholesterol level (HCPCS:83721)
- Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
- Liver enzyme (sgpt), level (HCPCS:84460)
- Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
- White blood cell measure, stool specimen (HCPCS:89055)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Liver enzyme (sgot), level (HCPCS:84450)
- Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique (HCPCS:87660)
- Detection test for gardnerella vaginalis (bacteria), direct probe technique (HCPCS:87510)
- Detection test for candida species (yeast), direct probe technique (HCPCS:87480)
- Cholesterol level (HCPCS:82465)
- Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique (HCPCS:87486)
- Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS:87581)
- Syphilis test (HCPCS:86593)
- Procalcitonin (hormone) level (HCPCS:84145)
- Dehydroepiandrosterone (dhea-s) hormone level (HCPCS:82627)
- Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
- Detection test by immunoassay technique for hepatitis b surface antigen neutralization (HCPCS:87341)
- Pap test, manual screening (HCPCS:88142)
- Vitamin a level (HCPCS:84590)
- Urine volume measurement (HCPCS:81050)
- Ascorbic acid (vitamin c) level, blood (HCPCS:82180)
- Breath test analysis for helicobacter pylori (HCPCS:83013)
- Administration of drug for helicobacter pylori (HCPCS:83014)
- Gonadotropin (reproductive hormone) analysis (HCPCS:84703)
- Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
- Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
- Urine osmolality (concentration) measurement (HCPCS:83935)
The enumeration date for this NPI number is 12/12/2008 and was last updated on 10/8/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 05D0642547 | CALIFORNIA | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | CLF1817 | CALIFORNIA | Yes |