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LABORATORY DIAGNOSTICS MEDICAL GROUP
NPI 1093742074
Pathology - Anatomic Pathology & Clinical Pathology in La Jolla, CA

Active since June 27, 2006
9888 GENESEE AVE, LA JOLLA, CA 92037(858) 626-6000(419) 866-5453 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laboratory Diagnostics Medical Group NPPES

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

LABORATORY DIAGNOSTICS MEDICAL GROUP (NPI 1093742074) is a healthcare organization registered as an anatomic pathology & clinical pathology in La Jolla, California and active in the NPI registry since June 2006. The organization lists Stephen Carlson, President, as its authorized official.

NPPES Registry Identity

NPI1093742074
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameLABORATORY DIAGNOSTICS MEDICAL GROUP
Location Address9888 GENESEE AVELa Jolla, CA 92037-1276
Mailing Address1801 W Olympic Blvd, #1016Pasadena, CA 91199-0001 · (800) 288-8325 · Fax (419) 866-5453
Phone(858) 626-6000
Fax(419) 866-5453
Organization SubpartNo
Authorized OfficialStephen CarlsonPresident · (858) 626-6000
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1093742074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · 05D0663110
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
9888 GENESEE AVE, La Jolla, CA 92037
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Other Identifiers 4

Medicare PINCG3751
Medicare PINHW14804ACA
Medicare ID-Type UnspecifiedHW14804CA
MedicaidGR00086691CA

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

Other Providers at the Same Location NPPES 20

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

MRS. KIERSTEN DUTRA RN
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (760) 599-9545
JOSHUA JINHONG PARK PHARMD
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 305-4336
DR. MONTE TIM MELLON M.D. M.B.A.
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-6150
JAMES G. SCHWENDIG M.D.
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
San Diego County (858) 626-6350
AMY EVENSTAD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
San Diego County (858) 626-4606
RYAN FONG
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
CHRISTOPHER LUCAS WALSH M.D.
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (410) 428-7710

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 Laboratory Diagnostics Medical Group's NPI number?

The NPI number for Laboratory Diagnostics Medical Group is 1093742074. It was assigned to this organization in the NPPES registry on June 27, 2006.

Where is Laboratory Diagnostics Medical Group located?

Laboratory Diagnostics Medical Group is located at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (858) 626-6000.

What is Laboratory Diagnostics Medical Group's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Laboratory Diagnostics Medical Group was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.