Mednite Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

DO93447 Issued in CA

Legal business name

MEDNITE DIAGNOSTICS

Practice address

5620 Wilbur Ave
Suite 209
Tarzana, CA 91356-1351

Phone

(818) 708-3703

Fax

(818) 705-6999

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janine Shamoun

Title

Biller

Phone

(818) 642-8778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1407910391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 ZELZAH AVE #106",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-232-3199",
            "fax_number": "818-276-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE",
            "address_2": "SUITE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-708-3703",
            "fax_number": "818-705-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNITE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "SHAMOUN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-642-8778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "DO93447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Tarzana, CA
• Providers in Tarzana, 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 Aug 31, 2010; 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.