Summit Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUMMIT LABORATORY INC

Practice address

19231 Victory Blvd Ste 205
Reseda, CA 91335-6332

Phone

(818) 697-0424

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grigor Tagakchyan

Title

Partner

Phone

(818) 697-0424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1598495186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 205",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356332",
            "telephone_number": "818-697-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 205",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356332",
            "telephone_number": "818-697-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "TAGAKCHYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-697-0424"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olaitan Adepeju Subair
• Kevin Darren Suggs
• Svetlana Sukhova
• Vagram Sulukyan, RD
• Patricia Ann Llamas Ramos Suministrado
• Sunlight Congregate Living Health Facility,Inc.
• Albina Suprun, RCP
• Leonard Wayne Sushinsky, PH.D.
• Shana Swimmer, PH.D.
• Jennifer D Szabo, M.S, CCC-SLP

• Clinical Medical Laboratory in Reseda, CA
• Providers in Reseda, 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 Jun 15, 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.