Organization Active NPI

International Mercantile Enterprises

  • Physiological Laboratory
  • Tarzana, CA
National Provider Identifier
1891892162
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Feb 2, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.