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Laboratory Diagnostics Medical Group

Anatomic Pathology & Clinical Pathology Physician in La Jolla, CA · enumerated 2006 · authorized official Stephen Carlson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093742074

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Registry record

Entity type Organization (Type 2)
Legal business name Laboratory Diagnostics Medical Group
Practice address 9888 Genesee Ave, La Jolla, CA, 92037
Fax (419) 866-5453
Enumeration date Jun 27, 2006
Last updated in NPPES Jan 11, 2016

Taxonomy & classification

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 05D0663110 (CA) Primary

Authorized official

Name Stephen Carlson
Title President

Other identifiers

Identifier Type State Issuer
GR00086691 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Laboratory Diagnostics Medical Group located?
The practice location on file with NPPES is in La Jolla, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-01-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-11.