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MEDARDO SUPNET M.D. INC
NPI 1003089970
Legal Medicine in Lynwood, CA

Active since April 10, 2008CLIA 05D0893428 · Waiver
3585 E IMPERIAL HWY, LYNWOOD, CA 90262(310) 605-4260(310) 605-4263 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medardo Supnet M.d. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDARDO SUPNET M.D. INC (NPI 1003089970) is a healthcare organization registered as a legal medicine in Lynwood, California and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Meliza Dayrit, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003089970
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameMEDARDO SUPNET M.D. INC
Location Address3585 E IMPERIAL HWYLynwood, CA 90262-2654
Mailing Address3585 E Imperial HwyLynwood, CA 90262-2654 · (310) 605-4260 · Fax (310) 605-4263
Phone(310) 605-4260
Fax(310) 605-4263
Organization SubpartNo
Authorized OfficialMeliza DayritOffice Manager · (310) 605-4260
Enumeration DateApril 10, 2008
✔ NPI 1003089970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in CA · A46203
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
3585 E IMPERIAL HWY, Lynwood, CA 90262
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Other Identifiers 1

Medicaid1417069303CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0893428

Medardo Supnet MD Inc · Lynwood, CA
Active · expires Apr 30, 2027
CLIA Number05D0893428
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorMedardo C. Supnet MD
Laboratory Phone(310) 605-4260
Laboratory LocationMedardo Supnet MD Inc3585 E Imperial Hwy, Lynwood, CA 90262
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARJIE ALEA FLORENTINO
Physician Assistant (Medical)
3585 E IMPERIAL HWY
LYNWOOD, CA 90262
Los Angeles County (310) 605-4260
MEDARDO C. SUPNET, M.D., INC
Specialist
3585 E IMPERIAL HWY
LYNWOOD, CA 90262
Los Angeles County (310) 605-4260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medardo Supnet M.D. Inc's NPI number?

The NPI number for Medardo Supnet M.D. Inc is 1003089970. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Medardo Supnet M.D. Inc located?

Medardo Supnet M.D. Inc is located at 3585 E Imperial Hwy, Lynwood, CA 90262. The listed phone number is (310) 605-4260.

What is Medardo Supnet M.D. Inc's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Medardo Supnet M.D. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0893428) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medardo Supnet M.D. Inc was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.