Magic Owl Laboratories Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAGIC OWL LABORATORIES INC.

Practice address

513 E Lime Ave Ste 202
Monrovia, CA 91016-2983

Phone

(626) 408-5112

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Vahe Kocharyan

Title

Owner

Phone

(626) 408-5112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1144810284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E LIME AVE STE 202",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162983",
            "telephone_number": "626-408-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E LIME AVE STE 202",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162983",
            "telephone_number": "626-408-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC OWL LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "KOCHARYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-408-5112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Magdaleno Montanez
• Norma Magdaleno
• Ruben Magdaleno
• Michael Magee
• Elsie Maghzi
• Madison Magill
• Marion Maglaya
• Carson Magno
• Madeline Magnus
• Peter Magnuson

• Clinical Medical Laboratory in Monrovia, CA
• Providers in Monrovia, 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 Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.