NPIMap

Organization Active NPI

Motion Picture and Television Fund

Doing business as Motion Picture and Television Fund Laboratory

  • Clinical Medical Laboratory
  • Woodland Hills, CA
National Provider Identifier
1619108123
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 912 Issued in CA
Legal business name
MOTION PICTURE AND TELEVISION FUND
Doing business as
Motion Picture and Television Fund Laboratory
Practice address
23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone
(818) 876-1050
Fax
(818) 591-1614
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Dr. David B Tillman, MD
Title
Ceo/President
Phone
(818) 876-1767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 912 CA Primary

Addresses

Primary practice location

23388 Mulholland Dr
Woodland Hills, CA 91364-2733

Mailing address

23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (818) 876-1050

Other identifiers 1

IdentifierTypeStateIssuer
05D0689437OtherCACLIA

Other names 1

  • MOTION PICTURE AND TELEVISION FUND LABORATORY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0689437Motion Picture and Television Fund23388 Mulholland Dr, Woodland Hills, CA 91364Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Motion Picture and TV5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1619108123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "818-876-1050",
            "fax_number": "818-591-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "818-876-1050",
            "fax_number": "818-591-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION PICTURE AND TELEVISION FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-876-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0689437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTION PICTURE AND TELEVISION FUND LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.