Organization Active NPI

Cortex Lab Inc

  • Clinical Medical Laboratory
  • Van Nuys, CA
National Provider Identifier
1295569713
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CORTEX LAB INC
Practice address
14435 Hamlin St Ste 200
Van Nuys, CA 91401-6205
Phone
(818) 818-7037
Fax
(818) 849-6841
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mr. Argisht Shakorian
Title
Ceo
Phone
(818) 818-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

14435 Hamlin St Ste 200
Van Nuys, CA 91401-6205

Mailing address

14435 Hamlin St Ste 200
Van Nuys, CA 91401-6205
Phone (818) 818-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930003260 CA Part B Supplier - Independent Clinical Laboratory 2769913847 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1295569713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-818-7037",
            "fax_number": "818-849-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-818-7037",
            "fax_number": "818-849-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEX LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SHAKORIAN",
        "authorized_official_first_name": "ARGISHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-818-7037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.