OrganizationActive
Mitomed Diagnostics Laboratory
NPI 1356595011 · Clinical Medical Laboratory · Irvine, CA
Mitomed Diagnostics Laboratory is a Clinical Medical Laboratory organization in Irvine, CA (NPI 1356595011).
Provider details
- NPI number
- 1356595011
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Douglas Wallace, Laboratory Director(949) 824-3490
- License
- 05D1034314 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2501 Hewitt Hl
University of California Irvine
Irvine, CA 92697-0001
Phone: (949) 824-1886
Fax: (949) 824-6388
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Hewitt Hl
Irvine, CA 92697-0001
Registry dates
- Enumerated
- 2008-11-07
- Last updated
- 2008-11-07
Frequently asked questions
- What is Mitomed Diagnostics Laboratory's NPI number?
- Mitomed Diagnostics Laboratory's National Provider Identifier (NPI) is 1356595011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mitomed Diagnostics Laboratory?
- Mitomed Diagnostics Laboratory is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Mitomed Diagnostics Laboratory located?
- Mitomed Diagnostics Laboratory's practice location on file with NPPES is 2501 Hewitt Hl, Irvine, CA 92697-0001.
- What is Mitomed Diagnostics Laboratory's phone number?
- The practice phone number listed in the NPPES registry for Mitomed Diagnostics Laboratory is (949) 824-1886.
- Who is the authorized official for Mitomed Diagnostics Laboratory?
- The authorized official listed on Mitomed Diagnostics Laboratory's NPPES record is Douglas Wallace, Laboratory Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mitomed Diagnostics Laboratory's NPI active?
- Yes — Mitomed Diagnostics Laboratory's NPI (1356595011) is active in the NPPES registry as of the last update on 2008-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.