Jacob Pogosian

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333109 Issued in CA

Legal business name

JACOB POGOSIAN

Doing business as

Medex Laboratory

Practice address

5242 San Fernando Rd
Glendale, CA 91203-2439

Phone

(818) 265-0001

Fax

(818) 265-0008

NPI assigned

Jun 20, 2006

Last updated

Aug 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Ruben PogosianNPI 1932248556

Title

Owner

Phone

(818) 265-0001

Specialties & licenses 1

Addresses

Other names 1

• Medex Laboratory Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob R Pogosian

  • Clinical Medical Laboratory
  • Glendale, CA
  • NPI 1932248556
  Authorized official Same address or phone

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1467497552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB POGOSIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "POGOSIAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-265-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medex Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jacob E Tauber MD a Professional
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• Bruce A Jacobs, D.C.
• Hannah Jacquet
• Jade Home Care Inc.
• Jadrool, LLC
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• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, 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 Aug 27, 2007; 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.