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INNOVATIVE DIAGNOSTIC MEDICAL GROUP
NPI 1013131796
Physiological Laboratory in Los Angeles, CA

Active since April 12, 2007
1801 CENTURY PARK EAST, SUITE 1040, LOS ANGELES, CA 90067(310) 553-7980(310) 943-3279 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Diagnostic Medical Group NPPES

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

INNOVATIVE DIAGNOSTIC MEDICAL GROUP (NPI 1013131796) is a healthcare organization registered as a physiological laboratory in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Sean Ataee, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1013131796
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameINNOVATIVE DIAGNOSTIC MEDICAL GROUP
Location Address1801 CENTURY PARK EAST, SUITE 1040Los Angeles, CA 90067
Mailing Address1801 Century Park East, Suite 1040Los Angeles, CA 90067 · (310) 553-7980 · Fax (310) 943-3279
Phone(310) 553-7980
Fax(310) 943-3279
Organization SubpartNo
Authorized OfficialSean AtaeeMedical Director/owner · (310) 553-7960
Enumeration DateApril 12, 2007
Last NPPES UpdateDecember 16, 2010
✔ NPI 1013131796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License✔ Licensed in CA · A44107
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License A106704 (CA)
1801 CENTURY PARK EAST, Los Angeles, CA 90067
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Innovative Diagnostic Medical Group's NPI number?

The NPI number for Innovative Diagnostic Medical Group is 1013131796. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Innovative Diagnostic Medical Group located?

Innovative Diagnostic Medical Group is located at 1801 Century Park East Suite 1040, Los Angeles, CA 90067. The listed phone number is (310) 553-7980.

What is Innovative Diagnostic Medical Group's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Innovative Diagnostic Medical Group was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.