Provider Demographics
NPI:1508594136
Name:CAP DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:CAP DIAGNOSTICS LLC
Other - Org Name:PATHNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-966-1221
Mailing Address - Street 1:15545 SAND CANYON AVE STE 100&200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3114
Mailing Address - Country:US
Mailing Address - Phone:714-966-1221
Mailing Address - Fax:
Practice Address - Street 1:59 SKYLINE DR STE 1100
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6221
Practice Address - Country:US
Practice Address - Phone:714-966-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory