New Age Laboratory Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEW AGE LABORATORY SERVICES INC

Practice address

7540 Balboa Blvd Ste 12
Van Nuys, CA 91406-2769

Phone

(915) 465-5544

NPI assigned

Aug 18, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Matevos Khacheryan

Title

Owner/Ceo

Phone

(915) 465-5544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1750296117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 BALBOA BLVD STE 12",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 BALBOA BLVD STE 12",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062769",
            "telephone_number": "915-465-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KHACHERYAN",
        "authorized_official_first_name": "MATEVOS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "915-465-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2026; 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.