INNOVATIVE DIAGNOSTIC MEDICAL GROUP – NPI #1013131796
Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
INNOVATIVE DIAGNOSTIC MEDICAL GROUP is a physiological laboratory located in LOS ANGELES, CA. NPPES has assigned the NPI number 1013131796 to INNOVATIVE DIAGNOSTIC MEDICAL GROUP on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.
The NPI profile was previously updated about 15 years ago on Dec 16, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATIVE DIAGNOSTIC MEDICAL GROUP below.
NPI Profile for
INNOVATIVE DIAGNOSTIC MEDICAL GROUP
(more than 19 years ago)
SUITE 1040
LOS ANGELES, CA 90067 Phone: (310) 553-7980 Fax: (310) 943-3279
MEDICAL DIRECTOR/OWNER
Phone: (310) 553-7960
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 293D00000X - Physiological Laboratory (Primary) |
CA | A44107 |
| 208100000X - Physical Medicine & Rehabilitation |
CA | A106704 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.