Active NPI
Tekotest Lab Inc
- Clinical Medical Laboratory
- Burbank, CA
National Provider Identifier
1306585328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D2260410 | Other | CA | CLIA |
Other names 2
- TEKOTEST LAB INC
- Tekotest Laboratory Inc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tekotestlab@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.