Organization
PRIME LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POGOS MARTINYAN (PRESIDENT/CEO)
(818) 219-9690
Entity
Organization
Contact information
Practice address
31344 VIA COLINAS, UNITE 104, WESTLAKE VILLAGE, CA 91362
(818) 485-1004
(818) 485-1005
Mailing address
31344 VIA COLINAS, UNITE 104, WESTLAKE VILLAGE, CA 91362
(818) 485-1004
(818) 485-1005
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF347739
CA
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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