Exprest Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2036930 Issued in CA

Legal business name

EXPREST INC

Practice address

1101 E Broadway
Ste 110
Glendale, CA 91205-1383

Phone

(818) 244-0109

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Satenik Avetisyan

Title

Ceo

Phone

(818) 244-0109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1376802868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-244-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E BROADWAY",
            "address_2": "STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051383",
            "telephone_number": "818-244-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPREST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "SATENIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-244-0109"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2036930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, 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 May 3, 2012; 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.