Ashot Sedrakyan

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ASHOT SEDRAKYAN

Doing business as

pure quality lab

Practice address

10175 SW Barbur Blvd
Suite 105Ba
Portland, OR 97219-5908

Phone

(503) 977-2250

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Ashot Sedrakyan

Title

Owner

Phone

(503) 977-2250

Specialties & licenses 1

Addresses

Other names 1

• pure quality lab Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417028598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 105BA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-977-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 105BA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-977-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOT SEDRAKYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-977-2250"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pure quality lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Oregon

• 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.