Organization Active NPI

Margate Diagnostic Inc

  • Physiological Laboratory
  • Burbank, CA
National Provider Identifier
1053359570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MARGATE DIAGNOSTIC INC
Practice address
2920 W Olive Ave
Suite 104
Burbank, CA 91505-4547
Phone
(818) 843-3199
Fax
(818) 842-3119
NPI assigned
Jun 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hripsime Chilian
Title
President
Phone
(818) 843-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2920 W Olive Ave
Suite 104
Burbank, CA 91505-4547

Mailing address

2920 W Olive Ave
Suite 104
Burbank, CA 91505-4547
Phone (818) 843-3199

National Provider Directory

National Provider Directory

Locations

2920 W Olive Ave
Ste 104
Burbank, CA 91505
Phone (818) 843-3199

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053359570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054547",
            "telephone_number": "818-843-3199",
            "fax_number": "818-842-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054547",
            "telephone_number": "818-843-3199",
            "fax_number": "818-842-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGATE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHILIAN",
        "authorized_official_first_name": "HRIPSIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-843-3199"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.