Organization Active NPI

Agm Diagnostics Center Inc

  • Physiological Laboratory
  • Sherman Oaks, CA
National Provider Identifier
1649316449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AGM DIAGNOSTICS CENTER INC
Practice address
14148 Magnolia Blvd
Suite 107
Sherman Oaks, CA 91423-6413
Phone
(818) 990-0090
Fax
(818) 990-0439
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Georgi Akhsharumov
Title
President
Phone
(818) 990-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

14148 Magnolia Blvd
Suite 107
Sherman Oaks, CA 91423-6413

Mailing address

14148 Magnolia Blvd
Suite 107
Sherman Oaks, CA 91423-6413
Phone (818) 990-0090

National Provider Directory

National Provider Directory

Locations

14148 Magnolia Blvd
Ste 107
Sherman Oaks, CA 91423
Phone (818) 990-0090

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649316449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD",
            "address_2": "SUITE 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236413",
            "telephone_number": "818-990-0090",
            "fax_number": "818-990-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD",
            "address_2": "SUITE 107",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236413",
            "telephone_number": "818-990-0090",
            "fax_number": "818-990-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGM DIAGNOSTICS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKHSHARUMOV",
        "authorized_official_first_name": "GEORGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-0090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, 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.