Endeavour Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF334297 Issued in CA

Legal business name

ENDEAVOUR DIAGNOSTICS INC

Practice address

15904 Strathern St
Suite 19
Van Nuys, CA 91406-1314

Phone

(818) 915-1199

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Nicolae Candu

Title

President

Phone

(818) 782-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1699847657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15904 STRATHERN ST",
            "address_2": "SUITE 19",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061314",
            "telephone_number": "818-915-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15904 STRATHERN ST",
            "address_2": "SUITE 19",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061314",
            "telephone_number": "818-915-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOUR DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "CANDU",
        "authorized_official_first_name": "NICOLAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-8888"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF334297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1060778",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.