Organization Active NPI

Venturadiagnostic

  • Clinical Medical Laboratory
  • Encino, CA
National Provider Identifier
1619915352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VENTURADIAGNOSTIC
Practice address
18075 Ventura Blvd
Encino, CA 91316-3517
Phone
(818) 708-0071
Fax
(818) 708-8635
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yevgeniy Chapovskiy
Title
Owner
Phone
(818) 708-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18075 Ventura Blvd
Encino, CA 91316-3517

Mailing address

18075 Ventura Blvd
Encino, CA 91316-3517
Phone (818) 708-0071

National Provider Directory

National Provider Directory

Locations

18075 Ventura Blvd
Encino, CA 91316
Phone (818) 708-0071

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619915352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18075 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163517",
            "telephone_number": "818-708-0071",
            "fax_number": "818-708-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18075 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163517",
            "telephone_number": "818-708-0071",
            "fax_number": "818-708-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURADIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPOVSKIY",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-708-0071"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.