MITOMED DIAGNOSTICS LABORATORY
NPI 1356595011
Clinical Medical Laboratory in Irvine, CA

Active since November 07, 2008
2501 HEWITT HL, UNIVERSITY OF CALIFORNIA IRVINE, IRVINE, CA 92697(949) 824-1886(949) 824-6388 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitomed Diagnostics Laboratory NPPES

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

MITOMED DIAGNOSTICS LABORATORY (NPI 1356595011) is a healthcare organization registered as a clinical medical laboratory in Irvine, California and active in the NPI registry since November 2008. The organization lists Douglas C. Wallace, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1356595011
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMITOMED DIAGNOSTICS LABORATORY
Location Address2501 HEWITT HL, UNIVERSITY OF CALIFORNIA IRVINEIrvine, CA 92697-0001
Mailing Address2501 Hewitt Hl, University Of California IrvineIrvine, CA 92697-0001 · (949) 824-1886 · Fax (949) 824-6388
Fax(949) 824-6388
Organization SubpartNo
Authorized OfficialDouglas C. WallaceLaboratory Director · (949) 824-3490
Enumeration DateNovember 7, 2008
NPI 1356595011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · 05D1034314
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.
2501 HEWITT HL, Irvine, CA 92697

Other Identifiers 1

Other05D1034314CA · Clia

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 Mitomed Diagnostics Laboratory's NPI number?

The NPI number for Mitomed Diagnostics Laboratory is 1356595011. It was assigned to this organization in the NPPES registry on November 7, 2008.

Where is Mitomed Diagnostics Laboratory located?

Mitomed Diagnostics Laboratory is located at 2501 Hewitt Hl University Of California Irvine, Irvine, CA 92697. The listed phone number is (949) 824-1886.

What is Mitomed Diagnostics Laboratory's specialty?

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

When was this NPI record last updated?

The NPPES record for Mitomed Diagnostics Laboratory was last updated on November 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.