Medical Diagnostic and Prognostic Laboratory
NPI 1578452215 · Clinical Medical Laboratory · Lakewood, CA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Diagnostic and Prognostic Laboratory is a Clinical Medical Laboratory organization in Lakewood, CA (NPI 1578452215).
Provider details
- NPI number
- 1578452215
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kiat Chan, Ceo(310) 567-9213
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medprolab
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-29
Frequently asked questions
- What is Medical Diagnostic and Prognostic Laboratory's NPI number?
- Medical Diagnostic and Prognostic Laboratory's National Provider Identifier (NPI) is 1578452215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Diagnostic and Prognostic Laboratory?
- Medical Diagnostic and Prognostic Laboratory is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Medical Diagnostic and Prognostic Laboratory located?
- Medical Diagnostic and Prognostic Laboratory's practice location on file with NPPES is 4117 South St, Lakewood, CA 90712-1043.
- What is Medical Diagnostic and Prognostic Laboratory's phone number?
- The practice phone number listed in the NPPES registry for Medical Diagnostic and Prognostic Laboratory is (562) 723-6732.
- Does Medical Diagnostic and Prognostic Laboratory accept Medicare?
- Medical Diagnostic and Prognostic Laboratory is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medical Diagnostic and Prognostic Laboratory?
- The authorized official listed on Medical Diagnostic and Prognostic Laboratory's NPPES record is Kiat Chan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Diagnostic and Prognostic Laboratory's NPI active?
- Yes — Medical Diagnostic and Prognostic Laboratory's NPI (1578452215) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.