Organization Active NPI

Brand Diagnostic Center,Inc

  • Physiological Laboratory
  • Glendale, CA
National Provider Identifier
1003865767
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BRAND DIAGNOSTIC CENTER,INC
Practice address
100 N Brand Blvd
Suite 532
Glendale, CA 91203-2641
Phone
(818) 476-0075
Fax
(818) 476-0081
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irina Gevorgyan
Title
Ceo
Phone
(818) 476-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

100 N Brand Blvd
Suite 532
Glendale, CA 91203-2641

Mailing address

100 N Brand Blvd
Suite 532
Glendale, CA 91203-2641

National Provider Directory

National Provider Directory

Locations

100 N Brand Blvd
Ste 532
Glendale, CA 91203
Phone (818) 476-0075

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1003865767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD",
            "address_2": "SUITE 532",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD",
            "address_2": "SUITE 532",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032641",
            "telephone_number": "818-476-0075",
            "fax_number": "818-476-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND DIAGNOSTIC CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-476-0075"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.