Organization Active NPI

Sonic Labzone Inc

  • Clinical Medical Laboratory
  • Shreveport, LA
National Provider Identifier
1306025531
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SONIC LABZONE INC
Practice address
2533 Bert Kouns Industrial Loop
Suite 217
Shreveport, LA 71118-3158
Phone
(318) 344-9101
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Nikolay Agishev
Title
President
Phone
(318) 344-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2533 Bert Kouns Industrial Loop
Suite 217
Shreveport, LA 71118-3158

Mailing address

6741 Van Nuys Blvd
Suite 207
Van Nuys, CA 91405-4630

National Provider Directory

National Provider Directory

Locations

6741 Van Nuys Blvd
Van Nuys, CA 91405

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1306025531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD",
            "address_2": "SUITE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 217",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183158",
            "telephone_number": "318-344-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIC LABZONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "AGISHEV",
        "authorized_official_first_name": "NIKOLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-344-9101"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.