Emedassist

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CA150503 Issued in CA

Legal business name

EMEDASSIST

Practice address

17402 Chatsworth Street
St 201
Granada Hills, CA 91344-7619

Phone

(877) 454-4868

Fax

(877) 321-2298

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Randa Ballout

Title

President

Phone

(877) 454-4868

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1598171209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17402 CHATSWORTH STREET",
            "address_2": "ST 201",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447619",
            "telephone_number": "877-454-4868",
            "fax_number": "877-321-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17402 CHATSWORTH STREET",
            "address_2": "ST 201",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447619",
            "telephone_number": "877-454-4868",
            "fax_number": "877-321-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMEDASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "BALLOUT",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-454-4868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CA150503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Granada Hills, CA
• Providers in Granada Hills, 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 Oct 6, 2019; 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.