OrganizationActive
Agilediagnostic, Inc.
NPI 1710639505 · Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1710639505
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deena Shah, President(619) 917-6012
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9125 Truman St
San Diego, CA 92129-3631
Phone: (619) 917-6012
Fax: (520) 844-3335
Approximate (ZIP-level) locationGet directions
Mailing address
9125 Truman St
San Diego, CA 92129-3631
Registry dates
- Enumerated
- 2022-01-22
- Last updated
- 2022-01-22
- Certified
- 2022-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.