Med Science Center Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF4486 Issued in CA

Legal business name

MED SCIENCE CENTER INC.

Practice address

435 Arden Ave
140
Glendale, CA 91203-1130

Phone

(818) 500-1814

Fax

(818) 500-7144

NPI assigned

Jun 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Khachik Abrehem, PH.D

Title

Laboratory Director/President

Phone

(818) 500-1814

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013914639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-500-1814",
            "fax_number": "818-500-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-500-1814",
            "fax_number": "818-500-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SCIENCE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABREHEM",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "818-500-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF4486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58487F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.