Organization Active NPI

Biomed Diagnostic Laboratories, Inc

  • Clinical Medical Laboratory
  • Glendale, CA
National Provider Identifier
1558520122
Registry record updated Jun 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOMED DIAGNOSTIC LABORATORIES, INC
Practice address
1111 S Central Ave
Glendale, CA 91204-2212
Phone
(818) 244-3800
Fax
(818) 247-3912
NPI assigned
Jun 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2008

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

Authorized official

Name
Gaiane G Mkrtchian
Title
President
Phone
(818) 244-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1111 S Central Ave
Glendale, CA 91204-2212

Mailing address

1111 S Central Ave
Glendale, CA 91204-2212
Phone (818) 244-3800

Other identifiers 1

IdentifierTypeStateIssuer
05D1079646OtherCACLIA

National Provider Directory

National Provider Directory

Locations

1111 S Central Ave
Glendale, CA 91204
Phone (213) 463-1155

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212883200000",
    "number": "1558520122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042212",
            "telephone_number": "818-244-3800",
            "fax_number": "818-247-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042212",
            "telephone_number": "818-244-3800",
            "fax_number": "818-247-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMED DIAGNOSTIC LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A",
        "authorized_official_last_name": "MKRTCHIAN",
        "authorized_official_first_name": "GAIANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-3800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1079646",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.