Organization
MEDEX LABORATORIES SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROUBEN BARSEGIAN (OWNER)
(818) 265-0001
Entity
Organization
Contact information
Practice address
5242 SAN FERNANDO RD, GLENDALE, CA 91203-2439
(818) 265-0001
(818) 265-0008
Mailing address
5242 SAN FERNANDO RD, GLENDALE, CA 91203-2439
(818) 265-0001
(818) 265-0008
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF333109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1055209
CLIA
CA
Enumeration date
03/09/2010
Last updated
06/20/2018
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