V.E.D.C Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333296 Issued in CA

Legal business name

V.E.D.C LABORATORY

Practice address

201 S Buena Vista St Ste 225
Burbank, CA 91505-4571

Phone

(818) 239-0288

Fax

(818) 239-0289

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Minh Q Mach, M.D.

Title

Lab Director

Phone

(818) 239-0288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• V.E.D.C. LABORATORY Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1417099383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA #225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054571",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.E.D.C LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "818-239-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "A55349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.E.D.C. LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• V Star Hospice Care, Inc.
• VA Care Hospice
• Manjunath S Vadmal, M.D.
• Roberto J. Vado, ED.D.
• Sergey Nersesi Vahratyan, PHARMD
• Maria Isabel Val, O.D.

• 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 Apr 22, 2011; 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.