Accumed Laboratories, LLC
Organization Active NPI Clinical Medical Laboratory · Burbank, CA
NPI 1568357770 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1568357770
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ACCUMED LABORATORIES, LLC
- Practice address
- 101 S 1St St Ste 1000-a
Burbank, CA 91502-1938 - Phone
- (480) 978-0996
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
Authorized official
- Name
- Ruben Sukiasyan
- Title
- LLC Member
- Phone
- (480) 978-0996
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2258383 | Accumed Laboratories LLC | Registration | Sep 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250813001060 | CA | Part B Supplier - Independent Clinical Laboratory | 9638677164 | Practice locations: Burbank, CA |
National Provider Directory
Locations
101 S 1st St
Burbank, CA 91502
Phone (818) 841-1121
101 S 1st St
Ste 1000A
Burbank, CA 91502
Phone (480) 978-0996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
101 S 1St St Ste 1000-a
Burbank, CA 91502-1938
Mailing address
101 S 1St St Ste 1000-a
Burbank, CA 91502-1938
Phone (480) 978-0996
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.