Organization Active NPI

Tekotest Lab Inc

  • Clinical Medical Laboratory
  • Burbank, CA
National Provider Identifier
1306585328
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TEKOTEST LAB INC
Practice address
3111 Winona Ave Unit 102
Burbank, CA 91504-2538
Phone
(818) 861-7775
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Ahsan Baseer, PHD
Title
Technical Consultant
Phone
(714) 493-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3111 Winona Ave Unit 102
Burbank, CA 91504-2538

Mailing address

3111 Winona Ave Unit 102
Burbank, CA 91504-2538
Phone (818) 861-7775

Other identifiers 1

IdentifierTypeStateIssuer
05D2260410OtherCACLIA

Other names 2

  • TEKOTEST LAB INC Doing business as
  • Tekotest Laboratory Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tekotestlab@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

3111 Winona Ave
Unit 102
Burbank, CA 91504
Phone (818) 861-7775

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1306585328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WINONA AVE UNIT 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042538",
            "telephone_number": "818-861-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WINONA AVE UNIT 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042538",
            "telephone_number": "818-861-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKOTEST LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "BASEER",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_title_or_position": "TECHNICAL CONSULTANT",
        "authorized_official_telephone_number": "714-493-1224",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2260410",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tekotestlab@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3111 Winona Ave Unit 102",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915042538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TEKOTEST LAB INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tekotest Laboratory Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.