Organization
BIXBY CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA KARAMYAN (OWNER)
(818) 508-9603
Entity
Organization
Contact information
Practice address
10523 BURBANK BLVD, #102, NORTH HOLLYWOOD, CA 91601-2233
(818) 508-9603
(818) 508-9206
Mailing address
10523 BURBANK BLVD, #102, NORTH HOLLYWOOD, CA 91601-2233
(818) 508-9603
(818) 508-9206
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF333543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLIA 05D160923
CLINICAL LABORATORY
CA
Enumeration date
01/04/2007
Last updated
04/22/2008
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