Provider Demographics
NPI:1619337326
Name:UC3D LABS, INC
Entity Type:Organization
Organization Name:UC3D LABS, INC
Other - Org Name:DEL MAR IMAGING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR, PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, JD, PHD
Authorized Official - Phone:858-353-6961
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-0202
Mailing Address - Country:US
Mailing Address - Phone:858-353-6961
Mailing Address - Fax:
Practice Address - Street 1:13353 MANGO DR
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3534
Practice Address - Country:US
Practice Address - Phone:858-353-6961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA965182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty