OrganizationActive
Medical Diagnostic Laboratories
NPI 1154436897 · Clinical Pathology/Laboratory Medicine Physician · Stockton, CA
Provider details
- NPI number
- 1154436897
- Entity type
- Organization
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Jensen, Sole Proprietor(209) 473-6555
- License
- G54073 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3116 W March Ln Ste 200
Stockton, CA 95219-2370
Phone: (209) 473-6555
Fax: (209) 473-6544
Street-level locationGet directions
Mailing address
3116 W March Ln Ste 200
Stockton, CA 95219-2370
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.