R & B Medical Group, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF322706 Issued in CA

Legal business name

R & B MEDICAL GROUP, INC.

Doing business as

Universal Diagnostic Laboratories

Practice address

6700 Valjean Ave
Van Nuys, CA 91406-5818

Phone

(818) 582-3189

Fax

(818) 849-5442

NPI assigned

Feb 12, 2007

Last updated

Apr 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shiela Busheri

Title

Ceo

Phone

(818) 324-3780

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• UNIVERSAL DIAGNOSTIC LABORATORIES Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• R&B Medical Group,Inc.

  • Family Medicine Physician
  • El Monte, CA
  • NPI 1669513495
  NPPES parent name

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1881736650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 VALJEAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-582-3189",
            "fax_number": "818-849-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 VALJEAN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065818",
            "telephone_number": "818-582-3189",
            "fax_number": "818-849-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & B MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BUSHERI",
        "authorized_official_first_name": "SHIELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-324-3780"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF322706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0938253",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB38253F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL DIAGNOSTIC LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIVERSAL DIAGNOSTIC LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Apr 20, 2022; 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.