Organization
MEDI-LAB CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHACHATUR POGOSYAN (CEO)
(818) 291-0547
Entity
Organization
Contact information
Practice address
424 W BROADWAY, STE 110, GLENDALE, CA 91204-1209
(818) 502-9900
(866) 437-8784
Mailing address
PO BOX 250550, GLENDALE, CA 91225-0550
(818) 502-9900
(866) 437-8784
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
10/05/2010
Last updated
02/21/2012
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