MODMD A PROFESSIONAL CORPORATION
NPI 1255904207
Clinical Medical Laboratory in Venice, CA
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
Specialties & Licenses 2
Group Practice 1
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, CAAreas 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.
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.