Organization Active NPI

Ananda Analytical Laboratories LLC

Doing business as Ananda Analytical Laboratories

  • Clinical Medical Laboratory
  • Burbank, CA
National Provider Identifier
1427728815
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ANANDA ANALYTICAL LABORATORIES LLC
Doing business as
Ananda Analytical Laboratories
Practice address
101 S 1St St Ste 1000
Burbank, CA 91502-1928
Phone
(562) 414-4222
NPI assigned
Sep 16, 2021
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Mr. Gevork Nordanyan
Title
Owner
Phone
(562) 414-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

101 S 1St St Ste 1000
Burbank, CA 91502-1928

Mailing address

101 S 1St St Ste 1000
Burbank, CA 91502-1928
Phone (562) 414-4222

Other identifiers 1

IdentifierTypeStateIssuer
05D2217697OtherCACLIA

Other names 1

  • Ananda Analytical Laboratories Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221110000431 CA Part B Supplier - Independent Clinical Laboratory 3173990793 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1427728815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST STE 1000",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021928",
            "telephone_number": "562-414-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST STE 1000",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021928",
            "telephone_number": "562-414-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANDA ANALYTICAL LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-04-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "NORDANYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-414-4222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2217697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ananda Analytical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ananda Analytical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.