Active NPI
Cortex Lab Inc
- Clinical Medical Laboratory
- Van Nuys, CA
National Provider Identifier
1295569713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240930003260 | CA | Part B Supplier - Independent Clinical Laboratory | 2769913847 | Practice locations: Van Nuys, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1740397215
-
- Emergency Medicine Physician
- Arcadia, CA
- NPI 1295763597
-
- General Practice Physician
- Culver City, CA
- NPI 1710190657
-
- General Practice Physician
- Naples, FL
- NPI 1801839675
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.