Organization
TMI PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS KASIMIAN MD (PRESIDENT)
(818) 780-3242
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2903
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB67229F
—
CA
01
—
ZZZ54209Z
BLUE SHIELD
CA
Enumeration date
03/21/2006
Last updated
06/13/2008
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