Organization Active NPI

Neurohealth Diagnostics, Inc

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1215214309
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEUROHEALTH DIAGNOSTICS, INC
Practice address
2990 S Sepulveda Blvd Ste 203
Los Angeles, CA 90064-3973
Phone
(310) 445-3350
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. James P Blumenthal
Title
Ceo
Phone
(310) 445-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

2990 S Sepulveda Blvd Ste 203
Los Angeles, CA 90064-3973

Mailing address

2990 S Sepulveda Blvd Ste 203
Los Angeles, CA 90064-3973
Phone (310) 445-3350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1215214309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "310-445-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "310-445-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROHEALTH DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-445-3350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.