Organization Active NPI

Ameria Lab Inc

  • Clinical Laboratory Director (Non-physician)
  • Glendale, CA
National Provider Identifier
1831850908
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
AMERIA LAB INC
Practice address
411 Lincoln Ave Apt 15
Glendale, CA 91205-4312
Phone
(201) 214-8640
NPI assigned
Dec 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Vladimir Jumayan
Title
Ceo
Phone
(201) 214-8640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

411 Lincoln Ave Apt 15
Glendale, CA 91205-4312

Mailing address

411 Lincoln Ave Apt 15
Glendale, CA 91205-4312
Phone (201) 214-8640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1831850908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LINCOLN AVE APT 15",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054312",
            "telephone_number": "201-214-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LINCOLN AVE APT 15",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054312",
            "telephone_number": "201-214-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIA LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "JUMAYAN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-214-8640"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "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 Dec 31, 2021; 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.