Active NPI
Allstate Lab
- Clinical Medical Laboratory
- Sherman Oaks, CA
National Provider Identifier
1225838196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ALLSTATE LAB
- Practice address
- 4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403-1745 - Phone
- (818) 454-2222
- Fax
- (818) 514-1222
- NPI assigned
- Mar 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ara Avakian
- Title
- Owner
- Phone
- (818) 454-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403-1745
Mailing address
4940 Van Nuys Blvd Ste 304
Sherman Oaks, CA 91403-1745
Phone (818) 454-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250516000706 | CA | Part B Supplier - Independent Clinical Laboratory | 1557889243 | Practice locations: Sherman Oaks, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2318805 | Allstate Lab | Registration | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1225838196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD STE 304",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031745",
"telephone_number": "818-454-2222",
"fax_number": "818-514-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 VAN NUYS BLVD STE 304",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031745",
"telephone_number": "818-454-2222",
"fax_number": "818-514-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLSTATE LAB",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "AVAKIAN",
"authorized_official_first_name": "ARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-454-2222"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.