Organization Active NPI

Bio-Trans Laboratory, Inc

  • Clinical Medical Laboratory
  • West Hills, CA
National Provider Identifier
1881752236
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 11766 Issued in CA
Legal business name
BIO-TRANS LABORATORY, INC
Practice address
23101 Sherman Place
Ste 221
West Hills, CA 91307
Phone
(818) 594-0573
Fax
(818) 710-9442
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Vali Kermani Sr., PHD CCS ABMLI
Title
President
Phone
(818) 710-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 11766 CA Primary

Addresses

Primary practice location

23101 Sherman Place
Ste 221
West Hills, CA 91307

Mailing address

23101 Sherman Place
Ste 221
West Hills, CA 91307
Phone (818) 594-0573

Other identifiers 4

IdentifierTypeStateIssuer
222656952OtherBLUE SHIELD
05D1007675OtherCLIA
05D100767OtherCACLIA #
CLF 11766OtherCACA LAB LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1881752236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PLACE",
            "address_2": "STE 221",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-594-0573",
            "fax_number": "818-710-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PLACE",
            "address_2": "STE 221",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-594-0573",
            "fax_number": "818-710-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-TRANS LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "VALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-710-9545",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD CCS ABMLI"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "222656952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1007675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D100767",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LAB LICENSE",
            "identifier": "CLF 11766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.