Organization
HERITAGE LABS INC
Active
Organization
HERITAGE LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVETIS ITCHMELYAN (CEO)
(323) 892-5555
Entity
Organization
Contact information
Practice address
4741 LAUREL CANYON BLVD STE 204, VALLEY VILLAGE, CA 91607-3934
(818) 824-3154
Mailing address
4741 LAUREL CANYON BLVD STE 204, VALLEY VILLAGE, CA 91607-3934
(818) 824-3154
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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