Organization Active NPI

Stat Diagnostic Service, Inc.

  • Clinical Medical Laboratory
  • Downey, CA
National Provider Identifier
1982749628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
2597996 Issued in CA
Legal business name
STAT DIAGNOSTIC SERVICE, INC.
Practice address
11411 Brookshire Ave
Suite 505
Downey, CA 90241-5003
Phone
(562) 622-1002
Fax
(562) 622-1058
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Niko Oganesian, RCP
Title
President
Phone
(562) 761-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 2597996 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave
Suite 505
Downey, CA 90241-5003

Mailing address

7803 Alderdale St
Downey, CA 90240-2608
Phone (562) 928-1719

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982749628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 ALDERDALE ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402608",
            "telephone_number": "562-928-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE 505",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-622-1002",
            "fax_number": "562-622-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DIAGNOSTIC SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGANESIAN",
        "authorized_official_first_name": "NIKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-761-7208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "2597996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.