Noho Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333110 Issued in CA

Legal business name

NOHO CLINICAL LABORATORIES INC

Practice address

11024 Magnolia Blvd
Suite C
North Hollywood, CA 91601-3810

Phone

(818) 487-2900

Fax

(818) 487-0800

NPI assigned

Aug 23, 2006

Last updated

Nov 3, 2008By 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

Oleksandr Dmytriiev

Title

Ceo

Phone

(818) 487-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1548377914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MAGNOLIA BLVD",
            "address_2": "SUITE C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013810",
            "telephone_number": "818-487-2900",
            "fax_number": "818-487-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 MAGNOLIA BLVD",
            "address_2": "SUITE C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013810",
            "telephone_number": "818-487-2900",
            "fax_number": "818-487-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHO CLINICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "DMYTRIIEV",
        "authorized_official_first_name": "OLEKSANDR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-487-2900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D1056363",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noalab Clinic Inc.
• Noalab Medical Clinic Inc
• Noho Adhc Inc
• Noho Assisted Living Inc
• Noho Best Home Health
• Noho Health Center Corp.
• Noho Home Health Care, Inc.
• Noho Hospice Care Inc
• Noho Hospice, Inc.
• Noho Medical Center Inc

• 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 Nov 3, 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.