G & M Diagnostic Center, Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

G & M DIAGNOSTIC CENTER, INC

Practice address

13735 Victory Blvd
Van Nuys, CA 91401-2300

Phone

(818) 780-2654

Fax

(818) 780-2729

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Meri Berberyan

Title

Owner

Phone

(818) 780-2654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306883806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012300",
            "telephone_number": "818-780-2654",
            "fax_number": "818-780-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012300",
            "telephone_number": "818-780-2654",
            "fax_number": "818-780-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERBERYAN",
        "authorized_official_first_name": "MERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-780-2654"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.