| Organization Name: | MD MEDICAL DIAGNOSTICS, A MEDICAL CORPORATION |
| NPI Number: | 1760732150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL L KELLOGG (CEO) |
| Mailing Address: | 30100 Town Center Dr Suite O-437 Laguna Niguel |
| State: | CA US |
| Postal Code: | 926772064 |
| Phone Number: | 9494934223 |
| Fax Number: | 9494938966 |
| NPI Enumeration Date: | 09/13/2012 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |