MODMD A PROFESSIONAL CORPORATION
NPI 1255904207
Clinical Medical Laboratory in Venice, CA

Active since July 19, 2021CLIA 05D2107123 · Accreditation
208 LINCOLN BLVD, VENICE, CA 90291(833) 663-6352(424) 465-3398 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2023, Jul 19, 2021 (2 updates tracked since 2021).

About Modmd A Professional Corporation NPPES

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

MODMD A PROFESSIONAL CORPORATION (NPI 1255904207) is a healthcare organization registered as a clinical medical laboratory in Venice, California and active in the NPI registry since July 2021. The organization holds an CLIA Accreditation certificate valid through June 1, 2027 and lists Sharon Naomi Dabby, Ceo/md, as its authorized official.

NPPES Registry Identity

NPI1255904207
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMODMD A PROFESSIONAL CORPORATION
Location Address208 LINCOLN BLVDVenice, CA 90291
Mailing Address208 Lincoln BlvdVenice, CA 90291 · (833) 663-6352 · Fax (424) 465-3398
Fax(424) 465-3398
Organization SubpartNo
Authorized OfficialSharon Naomi DabbyCeo/md · (833) 663-6352
Enumeration DateJuly 19, 2021
Last NPPES UpdateFebruary 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2023
NPI 1255904207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
Also ListedEmergency MedicineTaxonomy 207P00000X
208 LINCOLN BLVD, Venice, CA 90291

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Accreditation 05D2107123

Modmd, A Professional Corporation · Venice, CA
Active · expires Jun 1, 2027
CLIA Number05D2107123
Laboratory TypeIndependent
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDr. Maggie Hopkins
Laboratory Phone(213) 537-7143
Laboratory LocationModmd, A Professional Corporation208 Lincoln Blvd, Venice, CA 90291
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
186 services11 patients

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 Modmd A Professional Corporation's NPI number?

The NPI number for Modmd A Professional Corporation is 1255904207. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Modmd A Professional Corporation located?

Modmd A Professional Corporation is located at 208 Lincoln Blvd, Venice, CA 90291. The listed phone number is (833) 663-6352.

What is Modmd A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Modmd A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2107123) is associated with this NPI, valid through June 1, 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 Modmd A Professional Corporation was last updated on February 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.