NPIMap

Organization Active NPI

Genolab Inc

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1639703168
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENOLAB INC
Practice address
5300 Santa Monica Blvd Ste 305
Los Angeles, CA 90029-1259
Phone
(323) 522-3077
Fax
(888) 765-4732
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
George DagliyanNPI 1427682087
Title
Ceo
Phone
(323) 522-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5300 Santa Monica Blvd Ste 305
Los Angeles, CA 90029-1259

Mailing address

5300 Santa Monica Blvd Ste 305
Los Angeles, CA 90029-1259
Phone (323) 522-3077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1639703168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291259",
            "telephone_number": "323-522-3077",
            "fax_number": "888-765-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291259",
            "telephone_number": "323-522-3077",
            "fax_number": "888-765-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "DAGLIYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-522-3077"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.