Lab360

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB360

Practice address

347 Milford St Unit 102
Glendale, CA 91203-2291

Phone

(818) 800-9702

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Talin Sislyan

Title

Coo

Phone

(818) 800-9702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1295541563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MILFORD ST UNIT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032291",
            "telephone_number": "818-800-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MILFORD ST UNIT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032291",
            "telephone_number": "818-800-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB360",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SISLYAN",
        "authorized_official_first_name": "TALIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-800-9702"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, 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 Dec 10, 2024; 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.