Organization
PRIME MED LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUK MICHAEL GEVORKIAN (CEO)
(818) 744-4105
Entity
Organization
Contact information
Practice address
14504 FRIAR ST, VAN NUYS, CA 91411-2308
(818) 744-4105
Mailing address
14504 FRIAR ST, VAN NUYS, CA 91411-2308
(818) 744-4105
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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