Active NPI
International Mercantile Enterprises
- Physiological Laboratory
- Tarzana, CA
National Provider Identifier
1891892162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INTERNATIONAL MERCANTILE ENTERPRISES
- Practice address
- 19323 Collier St
Tarzana, CA 91356-3010 - Phone
- (818) 996-0546
- Fax
- (818) 996-8624
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Boris Chacham
- Title
- Ceo
- Phone
- (818) 996-0546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
19323 Collier St
Tarzana, CA 91356-3010
Mailing address
19323 Collier St
Tarzana, CA 91356-3010
Phone (818) 996-0546
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1891892162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19323 COLLIER ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563010",
"telephone_number": "818-996-0546",
"fax_number": "818-996-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19323 COLLIER ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563010",
"telephone_number": "818-996-0546",
"fax_number": "818-996-8624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL MERCANTILE ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "CHACHAM",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-996-0546",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.