Kester Diagnostic Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF ID 00340402 Issued in CA

Legal business name

KESTER DIAGNOSTIC LAB, INC.

Practice address

6817 Kester Ave
Van Nuys, CA 91405-3716

Phone

(818) 988-6600

Fax

(818) 988-6601

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Harry Bubushyan

Title

Manager

Phone

(818) 988-6600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1114292869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053716",
            "telephone_number": "818-988-6600",
            "fax_number": "818-988-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 KESTER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053716",
            "telephone_number": "818-988-6600",
            "fax_number": "818-988-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESTER DIAGNOSTIC LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BUBUSHYAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-988-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF ID 00340402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID 05D2025446",
            "identifier": "CLF ID 00340402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven A Kenyon
• Marie Keosseian
• Milad Keshavarz, D.C.
• Garabet Keshishian
• Alyssa Rose Kessler
• Kester Wellness Medical
• Varteni Tina Ketikyan
• Kevin Pezeshki MD Inc
• Anjila Keyo
• Arno Khachatrian, CADC-II

• Clinical Medical Laboratory in Van Nuys, CA
• Providers in Van Nuys, 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 14, 2012; 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.