Timm Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF328586 Issued in CA

Legal business name

TIMM LABORATORY

Practice address

6850 Canby Ave
Suite 105
Reseda, CA 91335-4310

Phone

(818) 776-3600

Fax

(818) 654-0634

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hamid Moradi, M.D.

Title

President

Phone

(818) 776-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMERICAN PREMIER LABORATORY Doing business as

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1043481971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 CANBY AVE",
            "address_2": "SUITE 105",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354310",
            "telephone_number": "818-776-3600",
            "fax_number": "818-654-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 CANBY AVE",
            "address_2": "SUITE 105",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354310",
            "telephone_number": "818-776-3600",
            "fax_number": "818-654-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMM LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-776-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF328586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DHS LICENSE",
            "identifier": "CLF328586",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN PREMIER LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Reseda, CA
• Providers in Reseda, 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 Mar 19, 2008; 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.