Organization Active NPI

Aja Lab LLC

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1437565264
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AJA LAB LLC
Practice address
11150 W Olympic Blvd
Suite 760
Los Angeles, CA 90064-1817
Phone
(813) 644-7753
Fax
(888) 482-2405
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Jason Levine, PHD
Title
Member
Phone
(813) 644-7753

Specialties & licenses 1

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

Addresses

Primary practice location

11150 W Olympic Blvd
Suite 760
Los Angeles, CA 90064-1817

Mailing address

11150 W Olympic Blvd
Suite 760
Los Angeles, CA 90064-1817
Phone (813) 644-7753

National Provider Directory

National Provider Directory

Locations

11150 W Olympic Blvd
Ste 760
Los Angeles, CA 90064
Phone (310) 477-8140

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1437565264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD",
            "address_2": "SUITE 760",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641817",
            "telephone_number": "813-644-7753",
            "fax_number": "888-482-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD",
            "address_2": "SUITE 760",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641817",
            "telephone_number": "813-644-7753",
            "fax_number": "888-482-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJA LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-644-7753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.