Organization Active NPI

Primex Clinical Laboratories Inc.

  • Clinical Medical Laboratory
  • Van Nuys, CA
National Provider Identifier
1043216682
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF11195 Issued in CA
Legal business name
PRIMEX CLINICAL LABORATORIES INC.
Practice address
16742 Stagg St
Ste 120
Van Nuys, CA 91406-1641
Phone
(800) 961-7870
Fax
(818) 779-1351
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Mrs. Natalie Malekians
Title
Director of Billing
Phone
(818) 779-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF11195 CA Primary

Addresses

Primary practice location

16742 Stagg St
Ste 120
Van Nuys, CA 91406-1641

Mailing address

16742 Stagg St
Ste 120
Van Nuys, CA 91406-1641
Phone (800) 961-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060508001009 CA Part B Supplier - Independent Clinical Laboratory 5395756118 Practice locations: Van Nuys, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0914812Primex Clinical Laboratories, Inc16742 Stagg St, Ste 120, Van Nuys, CA 91406ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

623 W Duarte Rd
Ste 7
Arcadia, CA 91007
Phone (626) 446-2733

1510 S Central Ave
Ste 330
Glendale, CA 91204

1011 E Devonshire Ave
Ste 202
Hemet, CA 92543
Phone (909) 765-1023

225 N San Jacinto St
Hemet, CA 92543

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647
Phone (714) 848-1655

41391 Kalmia St
Ste 310
Murrieta, CA 92562

1915 W Redlands Blvd
Ste 111
Redlands, CA 92373

16742 Stagg St
Ste 120
Van Nuys, CA 91406
Phone (800) 961-7870

34675 Yucaipa Blvd
Ste 112
Yucaipa, CA 92399

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1043216682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 STAGG ST",
            "address_2": "STE 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061641",
            "telephone_number": "800-961-7870",
            "fax_number": "818-779-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16742 STAGG ST",
            "address_2": "STE 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061641",
            "telephone_number": "800-961-7870",
            "fax_number": "818-779-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEX CLINICAL LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "MALEKIANS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "818-779-0130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.