SUPER LAB DIAGNOSTICS INC (NPI# 1083233407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083233407 |
| Entity Type | Organization |
| Organization Name | SUPER LAB DIAGNOSTICS INC |
| Practice Address |
11755 Victory Blvd Ste 250 North Hollywood CA 91606-3481 |
| Practice Telephone | 8184233854 |
| Mailing Telephone | 8184233854 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | ARSHAK SARUKHANYAN (CEO) |
| Authorized Official Telephone | 8184233854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
11755 VICTORY BLVD STE 250 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073351 | Frank Connors | Pathology | 555 S Los Robles Ave Apt 1, Pasadena, CA 91101-3241 | 2020-08-14 |
| 1548896491 | Jacob William Jorgensen | Pathology | 154 Black Powder Cir, Folsom, CA 95630-3415 | 2020-03-22 |
| 1457773608 | Ian Finn | Pathology | 12786 Salmon River Rd, San Diego, CA 92129-3553 | 2014-01-07 |
| 1760820518 | William Joseph Keenan | Pathology | 408 Sunrise Ave, Suite 1, Roseville, CA 95661 | 2013-06-13 |
| 1972801926 | Richard Deane Hockett Jr. | Pathology | 10520 Wateridge Cir, San Diego, CA 92121-5782 | 2011-02-28 |
| 1043531056 | Edward Taylor Sittler | Pathology | 680 2nd St, San Francisco, CA 94107 | 2010-06-14 |
| 1942536123 | Tara Ann Saunders | Pathology | 505 Parnassus Ave M580, San Francisco, CA 94143 | 2009-10-23 |
| 1992031132 | Victory Care Inc | Pathology | 2131 Elks Dr Ste 103, San Bernardino, CA 92404-5571 | 2009-10-22 |
| 1215174503 | Alan L.ee Epstein | Pathology | Usc Keck School of Medicine, 2011 Zonal Avenue, Hmr 205, Los Angeles, CA 90089-0001 | 2009-01-08 |
| 1265686109 | Faculty Physicians and Surgeons of Llusm | Pathology | 11234 Anderson St Ste 1617, Loma Linda, CA 92354-2804 | 2008-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.