MEDI-LAB CORPORATION (NPI# 1558670778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558670778 |
| Entity Type | Organization |
| Organization Name | MEDI-LAB CORPORATION |
| Practice Address |
424 W Broadway Ste 110 Glendale CA 91204-1209 |
| Mailing Address |
Po Box 250550 Glendale CA 91225-0550 |
| Practice Telephone | 8185029900 |
| Practice Fax Number | 8664378784 |
| Mailing Telephone | 8185029900 |
| Mailing Fax Number | 8664378784 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | MR. KHACHATUR POGOSYAN (CEO) |
| Authorized Official Telephone | 8182910547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CA | Laboratories |
| Street Address |
424 W BROADWAY STE 110 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467696211 | Syndicated Diagnostic Imaging, Inc. | Clinic/Center | 424 W Broadway, 100, Glendale, CA 91204-1209 | 2009-04-23 |
| 1750923686 | Anaheim Urgent Care, Inc. | Clinic/Center | 424 W Broadway, Glendale, CA 91204-1209 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1679075097 | Desert Tox Services, LLC | Clinical Medical Laboratory | 18862 N 77th Ave, Glendale, AZ 85308-5955 | 2018-03-01 |
| 1659750859 | Sophus Group Inc | Clinical Medical Laboratory | 5240 San Fernando Rd Ste B7, Glendale, CA 91203-2439 | 2015-05-21 |
| 1639575483 | Glenn S Hunt | Clinical Medical Laboratory | 5439 W Desert Hills Dr, Glendale, AZ 85304-2703 | 2014-11-06 |
| 1477994796 | Total Diagnostic Center | Clinical Medical Laboratory | 1052 Sonora Ave Apt 24, Apt 16, Glendale, CA 91201-2453 | 2013-07-15 |
| 1427305523 | Industrial Neuro Diagnostic Center | Clinical Medical Laboratory | 1161 Spazier Ave, #7, Glendale, CA 91201-3724 | 2012-08-07 |
| 1497046684 | Az Sleep Consultants LLC | Clinical Medical Laboratory | 5825 W Wethersfield Dr, Glendale, AZ 85304-1844 | 2011-04-22 |
| 1902048218 | Access Laboratories, Inc | Clinical Medical Laboratory | 703 Ivy St, Glendale, CA 91204-1003 | 2009-04-01 |
| 1922263698 | Lab Express Inc | Clinical Medical Laboratory | 13708 N 51st Ave, Glendale, AZ 85304-1416 | 2008-07-22 |
| 1558520122 | Biomed Diagnostic Laboratories, Inc | Clinical Medical Laboratory | 1111 S Central Ave, Glendale, CA 91204-2212 | 2008-06-08 |
| Find all providers in GLENDALE | ||||
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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.