MEDICAL DIAGNOSTIC AND PROGNOSTIC LABORATORY
NPI 1578452215
Clinical Medical Laboratory in Lakewood, CA

Active since June 30, 2025
4117 SOUTH ST, LAKEWOOD, CA 90712(562) 723-6732 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Medical Diagnostic And Prognostic Laboratory NPPES

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

MEDICAL DIAGNOSTIC AND PROGNOSTIC LABORATORY (NPI 1578452215), doing business as Medprolab, is a healthcare organization registered as a clinical medical laboratory in Lakewood, California and active in the NPI registry since June 2025. The organization lists Kiat Yeong Chan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578452215
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDICAL DIAGNOSTIC AND PROGNOSTIC LABORATORY
Location Address4117 SOUTH STLakewood, CA 90712-1043
Mailing Address14 Stallion RdRancho Palos Verdes, CA 90275-5257 · (310) 567-9213
Organization SubpartNo
Authorized OfficialKiat Yeong ChanCeo · (310) 567-9213
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
✔ NPI 1578452215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4117 SOUTH ST, Lakewood, CA 90712

Other Names 1

Doing Business AsMedprolab

Other Providers at the Same Location NPPES

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

Chiropractor (Sports Physician)
4117 SOUTH ST
LAKEWOOD, CA 90712

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 Medical Diagnostic And Prognostic Laboratory's NPI number?

The NPI number for Medical Diagnostic And Prognostic Laboratory is 1578452215. It was assigned to this organization in the NPPES registry on June 30, 2025. The provider is doing business as Medprolab.

Where is Medical Diagnostic And Prognostic Laboratory located?

Medical Diagnostic And Prognostic Laboratory is located at 4117 South St, Lakewood, CA 90712. The listed phone number is (562) 723-6732.

What is Medical Diagnostic And Prognostic 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 Medical Diagnostic And Prognostic Laboratory was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.