Organization Active NPI

Access Laboratories, Inc

  • Clinical Medical Laboratory
  • Glendale, CA
National Provider Identifier
1902048218
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1092532 Issued in CA
Legal business name
ACCESS LABORATORIES, INC
Practice address
703 Ivy St
Glendale, CA 91204-1003
Phone
(818) 484-8834
Fax
(818) 484-8836
NPI assigned
Apr 1, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Jacob Pogosyan
Title
Cfo
Phone
(818) 484-8834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1092532 CA Primary

Addresses

Primary practice location

703 Ivy St
Glendale, CA 91204-1003

Mailing address

703 Ivy Street
Glendale, CA 91204
Phone (818) 484-8834

National Provider Directory

National Provider Directory
Tax ID family
Access Laboratories Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

703 Ivy St
Glendale, CA 91204
Phone (818) 484-8834

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1902048218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 IVY STREET",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-484-8834",
            "fax_number": "818-484-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 IVY ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041003",
            "telephone_number": "818-484-8834",
            "fax_number": "818-484-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "POGOSYAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-484-8834"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1092532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.