Ilab Management, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ILAB MANAGEMENT, INC.

Practice address

412 W Broadway Ste 210
Glendale, CA 91204-1297

Phone

(818) 545-7755

Fax

(888) 203-8325

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Akop Jack Demirchyan

Title

C.E.O

Phone

(818) 545-7755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558634600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10670",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912093670",
            "telephone_number": "818-545-7755",
            "fax_number": "888-203-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "818-545-7755",
            "fax_number": "888-203-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILAB MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEMIRCHYAN",
        "authorized_official_first_name": "AKOP",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "818-545-7755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Glendale, CA
• Providers in Glendale, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.