DLZ Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D0957076 Issued in CA

Legal business name

DLZ LAB INC

Practice address

316 Maple Ave
Torrance, CA 90503-2603

Phone

(310) 787-7022

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Elena Goldberg, PH.D.

Title

President

Phone

(310) 245-0902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1992052534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAPLE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032603",
            "telephone_number": "310-787-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAPLE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032603",
            "telephone_number": "310-787-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLZ LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-245-0902",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0957076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "05D0957076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Dispenziere Jr., D.D.S.
• Divine Mercy Home Care Serviecs, Inc.
• Aliyah Camera Dixon
• Christine Meliani Djapri
• Armen Djenderedjian, M.D.
• Dat T DO, O.D.
• Huy DO, M.D.
• Paulina DO, PHARM.D.
• Tam Dan DO, M.D.
• Valerie Kim DO

• Clinical Medical Laboratory in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.