Summit Pathology Laboratories Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SUMMIT PATHOLOGY LABORATORIES INC

Practice address

14431 Ventura Blvd
Suite 608
Sherman Oaks, CA 91423-2606

Phone

(818) 385-5711

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

David Packo

Title

Ceo

Phone

(818) 385-5711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1679808315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 VENTURA BLVD",
            "address_2": "SUITE 608",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232606",
            "telephone_number": "818-385-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14431 VENTURA BLVD",
            "address_2": "SUITE 608",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232606",
            "telephone_number": "818-385-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PATHOLOGY LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "PACKO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-385-5711"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezekiel Sulkes
• Kristie Summerville, LMFT
• Summit Family Health Center of Sherman Oaks
• Summit Medical Solutions Inc
• Summit Pathology Laboratories Inc
• Stacey D Sumner, O.D.
• Vincent Sun
• Robert Sung
• Sunrise Surgical Center Mirabadi Parvin Gen PTR
• Sunset Anesthesia Group, a Professional Nursing Corporation

• Emergency Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.