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

Mitomed Diagnostics Laboratory

Organization Clinical Medical Laboratory · NPI 1356595011

Mitomed Diagnostics Laboratory is a Clinical Medical Laboratory in Irvine, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

2501 Hewitt Hl University Of California Irvine
Irvine, CA 92697-0001
Phone: (949) 824-1886
Fax: (949) 824-6388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D1034314 (CA)

Record details

NPI number1356595011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Wallace — Laboratory Director · (949) 824-3490
NPI enumeratedNovember 7, 2008
Last updated in NPPESNovember 7, 2008
Mailing address2501 Hewitt Hl, University Of California Irvine, Irvine, CA 92697-0001

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