Organization
GENEX LABORATORY SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVON SARDARYAN (OWNER)
81855700040
Entity
Organization
Contact information
Practice address
1301 N SAN FERNANDO BLVD, BURBANK, CA 91504-4236
(818) 557-0004
(818) 557-0040
Mailing address
1301 N SAN FERNANDO BLVD, BURBANK, CA 91504-4236
(818) 557-0004
(818) 557-0040
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00337819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ56408Y
BLUE SHIELD
CA
Enumeration date
07/19/2016
Last updated
02/02/2017
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