Active NPI
Dravaryn Clinical Labs LLC
- Durable Medical Equipment & Medical Supplies
- Rialto, CA
National Provider Identifier
1538094818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DRAVARYN CLINICAL LABS LLC
- Practice address
- 1507 W Wilson St
Rialto, CA 92376-6241 - Phone
- (818) 254-9621
- NPI assigned
- Jun 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amit Amit Jr.
- Title
- Owner
- Phone
- (818) 254-9621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1507 W Wilson St
Rialto, CA 92376-6241
Mailing address
1507 W Wilson St
Rialto, CA 92376-6241
Phone (818) 254-9621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1538094818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W WILSON ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766241",
"telephone_number": "818-254-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W WILSON ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766241",
"telephone_number": "818-254-9621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAVARYN CLINICAL LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "AMIT",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-254-9621",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.