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21ST CENTURY DIAGNOSTIC LABORATORY INC. NPI 1407861990


NPI Information

NPI: 1407861990
Provider Name: 21ST CENTURY DIAGNOSTIC LABORATORY, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 05D0956168

Address:
121 N VICTORY BLVD
BURBANK, CA
ZIP 91502
Phone: (323) 660-9480
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21ST CENTURY DIAGNOSTIC LABORATORY, INC. is a clinical medical laboratory in Burbank, CA. The provider is (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. 21ST CENTURY DIAGNOSTIC LABORATORY, INC. NPI is 1407861990. The provider is registered as an organization entity type.

The provider's business location address is:

121 N VICTORY BLVD
BURBANK, CA
ZIP 91502-837
Phone: (323) 660-9480

The provider's authorized official is Hasmik Melkumyan .
The authorized official title is Sercretary and has the following contact phone number (323) 660-9480.

The CLIA number assigned to this NPI record is 05D0956168 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory05D0956168CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LAB56168FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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