Organization
BIOMED DIAGNOSTIC LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIANE G MKRTCHIAN (PRESIDENT)
(818) 244-3800
Entity
Organization
Contact information
Practice address
1111 S CENTRAL AVE, GLENDALE, CA 91204-2212
(818) 244-3800
(818) 247-3912
Mailing address
1111 S CENTRAL AVE, GLENDALE, CA 91204-2212
(818) 244-3800
(818) 247-3912
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1079646
CLIA
CA
Enumeration date
06/08/2008
Last updated
06/08/2008
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