American Specialty Laboratory , Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00342719 Issued in CA

Legal business name

AMERICAN SPECIALTY LABORATORY , INC

Practice address

20765 Superior St
Chatsworth, CA 91311-4416

Phone

(818) 280-5321

Fax

(818) 812-9173

NPI assigned

Jun 21, 2012

Last updated

Feb 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nagham Askar

Title

Director of Operation

Phone

(818) 280-5321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bizhan Bandarchi Chamkhaleh, MD

  • Anatomic Pathology Physician
  • Canoga Park, CA
  • NPI 1780842609
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1316200504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD",
            "address_2": "STE 601",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-280-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20765 SUPERIOR ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114416",
            "telephone_number": "818-280-5321",
            "fax_number": "818-812-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPECIALTY LABORATORY , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "ASKAR",
        "authorized_official_first_name": "NAGHAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "818-280-5321",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00342719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.