Provider Demographics
NPI:1891279931
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:VP COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:CHC, CHPC
Authorized Official - Phone:714-966-1221
Mailing Address - Street 1:17661 COWAN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6031
Mailing Address - Country:US
Mailing Address - Phone:714-966-1221
Mailing Address - Fax:
Practice Address - Street 1:31205 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0928
Practice Address - Country:US
Practice Address - Phone:712-966-1221
Practice Address - Fax:949-336-5215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAP DIAGNOSTICS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-24
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory