Organization Active NPI

Montrose Medical Laboratory

  • Clinical Medical Laboratory
  • Montrose, CA
National Provider Identifier
1649382987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF11764 Issued in CA
Legal business name
MONTROSE MEDICAL LABORATORY
Practice address
2654 Honolulu Ave
Montrose, CA 91020-1732
Phone
(818) 957-8378
Fax
(818) 957-1127
NPI assigned
Aug 31, 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
Mr. Alfred Aroutiounian
Title
President
Phone
(818) 957-8378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF11764 CA Primary

Addresses

Primary practice location

2654 Honolulu Ave
Montrose, CA 91020-1732

Mailing address

2654 Honolulu Ave
Montrose, CA 91020-1732
Phone (818) 957-8378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649382987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201732",
            "telephone_number": "818-957-8378",
            "fax_number": "818-957-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 HONOLULU AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201732",
            "telephone_number": "818-957-8378",
            "fax_number": "818-957-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AROUTIOUNIAN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-957-8378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, 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.