Medex Laboratories Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333109 Issued in CA

Legal business name

MEDEX LABORATORIES SERVICES INC

Practice address

5242 San Fernando Rd
Glendale, CA 91203-2439

Phone

(818) 265-0001

Fax

(818) 265-0008

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rouben Barsegian

Title

Owner

Phone

(818) 265-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1134442858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX LABORATORIES SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BARSEGIAN",
        "authorized_official_first_name": "ROUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-265-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1055209",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, 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 Jun 20, 2018; 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.