DYNAMIC CLINICAL LABORATORIES, INC. (NPI# 1851761282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851761282 |
Entity Type | Organization |
Organization Name | DYNAMIC CLINICAL LABORATORIES, INC. |
Practice Address |
516 N Larchmont Blvd Los Angeles CA 90004-1306 |
Practice Telephone | 8005956976 |
Practice Fax Number | 2134023015 |
Mailing Telephone | 8005956976 |
Mailing Fax Number | 2134023015 |
Enumeration Date | 2015-09-28 |
Last Update Date | 2016-11-15 |
Authorized Official Name | SEAN EBRAHIMIAN (OWNER) |
Authorized Official Telephone | 2135951000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 05D1045035 | CA | Laboratories |
Street Address |
516 N LARCHMONT BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90004-1306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609407725 | Ultimate Dx Corp | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2020-01-28 |
1215400650 | Dynamic Health Labs | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2019-01-08 |
1750896494 | Reliatox Laboratories, Inc. | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2017-12-04 |
1073972980 | Clintox Laboratories Inc. | Clinical Medical Laboratory | 516 N Larchmont Blvd, Los Angeles, CA 90004-1306 | 2016-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
Find all providers in zip 90004 |
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 |
---|---|---|---|---|
1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
1134748312 | Steaman Laboratory Incorporated | Clinical Medical Laboratory | 3631 Crenshaw Blvd Ste 103, Los Angeles, CA 90016-4869 | 2020-04-08 |
1528619970 | Community Laboratory Inc | Clinical Medical Laboratory | 1919 W 7th St Unit L, Los Angeles, CA 90057-4103 | 2019-09-26 |
1982173423 | Sequence46, LLC | Clinical Medical Laboratory | 5777 W Century Blvd Ste 540, Los Angeles, CA 90045-5688 | 2018-11-14 |
1699271502 | Medbetter Health Solutions, LLC | Clinical Medical Laboratory | 11669 Rochester Ave Apt 101, Los Angeles, CA 90025-2381 | 2018-04-02 |
1144769068 | Flow Health Laboratories LLC | Clinical Medical Laboratory | 8885 Venice Blvd Ste 104, Los Angeles, CA 90034-3242 | 2017-02-13 |
1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
1306203229 | Quick and Easy Hplebotomy Services, LLC | Clinical Medical Laboratory | 9029 Airport Blvd Unit 91896, Los Angeles, CA 90009-4904 | 2016-01-22 |
1992161632 | Pachulski Industries Inc | Clinical Medical Laboratory | 100 Copa De Oro Rd, Los Angeles, CA 90077-3802 | 2016-01-11 |
1699154765 | Epiphany House Inc. | Clinical Medical Laboratory | 10655 Cushdon Ave, Los Angeles, CA 90064-3316 | 2015-05-22 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90004 |
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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.