Discovery Medical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1081778 Issued in CA

Legal business name

DISCOVERY MEDICAL LABORATORY

Practice address

3404 Glendale Blvd # B
Los Angeles, CA 90039-1815

Phone

(323) 666-2526

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Klaris Nazaryan

Title

Ceo

Phone

(323) 666-2526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1699942565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 GLENDALE BLVD # B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391815",
            "telephone_number": "323-666-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 GLENDALE BLVD # B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391815",
            "telephone_number": "323-666-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "NAZARYAN",
        "authorized_official_first_name": "KLARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-666-2526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1081778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aislyn Dirisio, MD, MS
• Sarah Maureen Dirk, DPT
• Sarah D Dirks, D.C.
• Sofia Ann Disarufino
• Discount Medical Pharmacy
• Discovery Practice Management, Inc. (Center for Discovery, Los Angeles (Pelham))
• Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Los Angeles)
• Discoverymd of California PC
• Nicholas Disimone
• Shana B Diskant, LMFT

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 May 9, 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.