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LARCHMONT DIAGNOSTIC LABORATORIES INC. NPI 1437105517


NPI Information

NPI: 1437105517
Provider Name: LARCHMONT DIAGNOSTIC LABORATORIES, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
321 N LARCHMONT BLVD
425
LOS ANGELES, CA
ZIP 90004
Phone: (323) 461-9100
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LARCHMONT DIAGNOSTIC LABORATORIES, INC. is a clinical medical laboratory in Los Angeles, 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. LARCHMONT DIAGNOSTIC LABORATORIES, INC. NPI is 1437105517. The provider is registered as an organization entity type.

The provider's business location address is:

321 N LARCHMONT BLVD
425
LOS ANGELES, CA
ZIP 90004-025
Phone: (323) 461-9100
Fax: (323) 461-9120

The provider's authorized official is Dmitry Personov .
The authorized official title is Ceo and has the following contact phone number (323) 461-9100.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/21/2008.


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 LaboratoryYes

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
105D0964049MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACLIA ID NUMBER

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: 4/28/2024

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