Genex Laboratory Services,Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00337819 Issued in CA

Legal business name

GENEX LABORATORY SERVICES,INC

Practice address

1301 N San Fernando Blvd
Burbank, CA 91504-4236

Phone

(818) 557-0004

Fax

(818) 557-0040

NPI assigned

Jul 19, 2016

Last updated

Feb 2, 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

Levon SardaryanNPI 1790939643

Title

Owner

Phone

81855700040

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Levon Sardaryan

  • Clinical Medical Laboratory
  • Burbank, CA
  • NPI 1790939643
  NPD (past) Authorized official

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1356794994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-557-0004",
            "fax_number": "818-557-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-557-0004",
            "fax_number": "818-557-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEX LABORATORY SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "SARDARYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "81855700040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00337819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ56408Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Burbank, CA
• Providers in Burbank, 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 2, 2017; 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.