Bixby Clinical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333543 Issued in CA

Legal business name

BIXBY CLINICAL LABORATORY, INC.

Practice address

10523 Burbank Blvd
#102
North Hollywood, CA 91601-2233

Phone

(818) 508-9603

Fax

(818) 508-9206

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marina Karamyan

Title

Owner

Phone

(818) 508-9603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1497802466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD",
            "address_2": "#102",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012233",
            "telephone_number": "818-508-9603",
            "fax_number": "818-508-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD",
            "address_2": "#102",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012233",
            "telephone_number": "818-508-9603",
            "fax_number": "818-508-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY CLINICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KARAMYAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-508-9603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY",
            "identifier": "CLIA 05D160923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in North Hollywood, CA
• Providers in North Hollywood, 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 Apr 22, 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.