Organization Active NPI

Primetox Laboratories, Inc.

  • Clinical Medical Laboratory
  • Glendale, CA
National Provider Identifier
1831527829
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIMETOX LABORATORIES, INC.
Practice address
410 Arden Ave Ste 102
Glendale, CA 91203-4005
Phone
(818) 243-3626
Fax
(888) 726-9264
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mr. Zaven Khanbekyan
Title
Ceo
Phone
(818) 243-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

410 Arden Ave Ste 102
Glendale, CA 91203-4005

Mailing address

410 Arden Ave Ste 102
Glendale, CA 91203-4005
Phone (818) 243-3626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1831527829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034005",
            "telephone_number": "818-243-3626",
            "fax_number": "888-726-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034005",
            "telephone_number": "818-243-3626",
            "fax_number": "888-726-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETOX LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KHANBEKYAN",
        "authorized_official_first_name": "ZAVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-243-3626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.