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

Professional Diagnostics Management

Organization Preferred Provider Organization · NPI 1790827780

Professional Diagnostics Management is a Preferred Provider Organization in Roseville, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2241 Lava Ridge Ct
Roseville, CA 95661-3034
Phone: (916) 782-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 014442 (CA)

Record details

NPI number1790827780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Rideout — Evp · (916) 782-2200
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2241 Lava Ridge Ct, Roseville, CA 95661-3034

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