Active NPI
Ananda Analytical Laboratories LLC
Doing business as Ananda Analytical Laboratories
- Clinical Medical Laboratory
- Burbank, CA
National Provider Identifier
1427728815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D2217697 | Other | CA | CLIA |
Other names 1
- Ananda Analytical Laboratories
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221110000431 | CA | Part B Supplier - Independent Clinical Laboratory | 3173990793 | Practice locations: Burbank, CA |
National Provider Directory
National Provider DirectoryNPI 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.