Community Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COMMUNITY LABORATORY INC

Practice address

1919 W 7TH St Unit L
Los Angeles, CA 90057-4103

Phone

(213) 282-3599

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Peyman Banooni, MD

Title

Director

Phone

(310) 625-4643

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1528619970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST UNIT L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574103",
            "telephone_number": "213-282-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST UNIT L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574103",
            "telephone_number": "213-282-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "BANOONI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-625-4643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Clinic and Health Care
• Community Counseling for Individuals and Families
• Community Dental Services
• Community Health Council
• Community Healthcare Resources Inc.
• Community Outreach for a Brighter California
• Community Partners
• Community Reflections Inc
• Community Residential Care Program
• Community Resources United Sharing Hope 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 Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.