Immunosciences Lab., Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 00000085 Issued in CA

Legal business name

IMMUNOSCIENCES LAB., INC.

Practice address

822 S Robertson Blvd
Ste 312
Los Angeles, CA 90035-1613

Phone

(310) 657-1077

Fax

(310) 657-1053

NPI assigned

Jun 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Aristo Vojdani, PH.D, M.SC., C.L.S.

Title

Ceo/Technical Director

Phone

(310) 657-1077

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1881033587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "SUITE 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-657-1077",
            "fax_number": "310-657-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "address_2": "STE 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-657-1077",
            "fax_number": "310-657-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNOSCIENCES LAB., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "VOJDANI",
        "authorized_official_first_name": "ARISTO",
        "authorized_official_title_or_position": "CEO/TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "310-657-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, M.SC., C.L.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 00000085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immaculate Care Center Inc
• Immanuel Medical Center Inc
• Immediate Medical Care
• Immigrants Charitable Foundation Dba la Community Alliance (LA Community Alliance (LACA))
• Immortelle Inc (Immortelle Med)
• Olore Imoohi
• Imp Health Services, Inc
• Impact Counseling Group
• Impact Counseling Group Incorporated
• Impact Genetics Corp

• 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 Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.