KMG Diagnostic Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

102175 Issued in CA

Legal business name

KMG DIAGNOSTIC INC

Practice address

326 E Broadway Blvd
Glendale, CA 91205-1011

Phone

(818) 548-5665

Fax

(818) 548-5600

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mesrop Konanyan

Title

Ceo

Phone

(818) 548-5665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1932293503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E BROADWAY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051011",
            "telephone_number": "818-548-5665",
            "fax_number": "818-548-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E BROADWAY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051011",
            "telephone_number": "818-548-5665",
            "fax_number": "818-548-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMG DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KONANYAN",
        "authorized_official_first_name": "MESROP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-548-5665"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "102175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Kleinschmidt
• Emily Gracin Klever
• Kittinun Klubdee
• Tamara J Klumpe, PHD
• KM Medical Supplies
• Tamar Lori Knadjian-Hindin, RN, AGPCNP
• KNH Hospice Care Inc
• Tanyya Knight
• Mary Kocharyan
• Van Kochkarian, O.D.

• Point of Service in Glendale, CA
• Providers in Glendale, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.