Active NPI
Biomed Diagnostic Laboratories, Inc
- Clinical Medical Laboratory
- Glendale, CA
National Provider Identifier
1558520122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1079646 | Other | CA | CLIA |
National Provider Directory
National Provider DirectoryLocations
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.