Prime Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF347739 Issued in CA

Legal business name

PRIME LAB, INC.

Practice address

31344 Via Colinas
Unite 104
Westlake Village, CA 91362

Phone

(818) 485-1004

Fax

(818) 485-1005

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Pogos MartinyanNPI 1932624145

Title

President/Ceo

Phone

(818) 219-9690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pogos Martinyan

  • Clinical Pathology/Laboratory Medicine Physician
  • Westlake Village, CA
  • NPI 1932624145
  NPD Authorized official
• Kyle Matthew Knox, D.C.

  • Chiropractor
  • Westlake Village, CA
  • NPI 1346552528
  NPD (past)

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245756212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31344 VIA COLINAS",
            "address_2": "UNITE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "818-485-1004",
            "fax_number": "818-485-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31344 VIA COLINAS",
            "address_2": "UNITE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "818-485-1004",
            "fax_number": "818-485-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTINYAN",
        "authorized_official_first_name": "POGOS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-219-9690"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF347739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Press, D.C.
• Dylan Price Berbel
• Julia Smith Prijatel, M.A., L.M.F.T.
• Primary Home Health, Inc.
• Prime Health Hospice, Inc.
• Prime Surgical Solutions Inc.
• Primecare Pharmacy LLC
• Lauren Prina, LMFT
• Proderm Image , a Professional Medical Corporation
• Promed Health Plus LLC

• Clinical Medical Laboratory in Westlake Village, CA
• Providers in Westlake Village, 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 Jul 21, 2022; 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.