Express Reliable Diagnostic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXPRESS RELIABLE DIAGNOSTIC INC

Practice address

19634 Ventura Blvd Ste 315
Tarzana, CA 91356-2995

Phone

(818) 293-8049

Fax

(818) 708-2167

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Nikita Goldring

Title

President

Phone

(818) 293-8049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1285936765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 315",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562995",
            "telephone_number": "818-293-8049",
            "fax_number": "818-708-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 315",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562995",
            "telephone_number": "818-293-8049",
            "fax_number": "818-708-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS RELIABLE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "GOLDRING",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-293-8049"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Tarzana, 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 Apr 5, 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.