Andy Madoyan

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

05D2145028 Issued in CA

Practice address

1737 E Washington Blvd Ste 5
Pasadena, CA 91104-2772

Phone

(626) 314-2222

Fax

(626) 314-2224

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cell Diagnostics Inc

  • Clinical Medical Laboratory
  • Pasadena, CA
  • NPI 1821585381
  NPD Authorized official

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1811492028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E WASHINGTON BLVD STE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042772",
            "telephone_number": "626-314-2222",
            "fax_number": "626-314-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 E WASHINGTON BLVD STE 5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042772",
            "telephone_number": "626-314-2222",
            "fax_number": "626-314-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOYAN",
        "first_name": "ANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "CA",
            "license": "05D2145028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison House
• Madison Radiology Medical Group, Inc.
• Madley & Mink Psychotherapy Corporation
• Lincoln Madley, LMFT
• Jessica L Madore, BA
• Vazgen Aram Madoyan Sr., L.AC.,
• Diana Madrid
• Joanna Beatriz Madrid, B.A.
• Natalie Madriz, MSW
• Vanessa Liliana Madson

• Clinical Laboratory Director (Non-physician) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Laboratory Director (Non-physician) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.