Larchmont Diagnostic Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LARCHMONT DIAGNOSTIC LABORATORIES, INC.

Practice address

321 N Larchmont Blvd
425
Los Angeles, CA 90004-3025

Phone

(323) 461-9100

Fax

(323) 461-9120

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dmitry Personov

Title

Ceo

Phone

(323) 461-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1437105517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043025",
            "telephone_number": "323-461-9100",
            "fax_number": "323-461-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043025",
            "telephone_number": "323-461-9100",
            "fax_number": "323-461-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT DIAGNOSTIC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PERSONOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-461-9100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Juliana Lara
• Tracy Lara
• Noah Laracy
• Laray Marriage and Family Therapy
• Larchmont Charter School
• Larchmont Family Dentists - Kezian Dental Group
• Larchmont Medical Center and Urgent Care PC
• Larchmont Medical Radiology Inc.
• Larchmont Optometrics, Inc
• Larchmont Pediatrics, Inc.

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 21, 2008; 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.