Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Diagnostic and Prognostic Laboratory

Organization Clinical Medical Laboratory · NPI 1578452215

Medical Diagnostic and Prognostic Laboratory is a Clinical Medical Laboratory in Lakewood, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4117 S St
Lakewood, CA 90712-1043
Phone: (562) 723-6732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1578452215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiat Chan — Ceo · (310) 567-9213
Other names Medprolab
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 29, 2025
Mailing address14 Stallion Rd, Rancho Palos Verdes, CA 90275-5257

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