Labtech Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

LABTECH INC

Practice address

3628 Lynoak Dr Ste 107
Claremont, CA 91711-3243

Phone

(213) 298-9645

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Petros Patatanian

Title

Owner

Phone

(213) 298-9645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1205524253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 LYNOAK DR STE 107",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 LYNOAK DR STE 107",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113243",
            "telephone_number": "213-298-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABTECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "PATATANIAN",
        "authorized_official_first_name": "PETROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-298-9645"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmina Koprivica, OD
• Mary Kathleen Krater, M.A., CCC-SLP
• Ava Kung, DDS
• Joshua Kusumo, D.D.S
• Mukesh Jayantilal Kuvadia, PA
• Yen Ingrid Lai, MD
• Yong Lai, D.D.S
• Janet M Lake, DC
• Kam Man Lam, C.A.
• Barbara Peterson Lamb, MFT

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Claremont, CA
• Providers in Claremont, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.