Super Lab Diagnostics Inc

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

SUPER LAB DIAGNOSTICS INC

Practice address

11755 Victory Blvd Ste 250
North Hollywood, CA 91606-3481

Phone

(818) 423-3854

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Arshak Sarukhanyan

Title

Ceo

Phone

(818) 423-3854

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1083233407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 250",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063481",
            "telephone_number": "818-423-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 250",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063481",
            "telephone_number": "818-423-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER LAB DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "SARUKHANYAN",
        "authorized_official_first_name": "ARSHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-423-3854"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Pathology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.