Organization
SUMMIT LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGOR TAGAKCHYAN (PARTNER)
(818) 697-0424
Entity
Organization
Contact information
Practice address
19231 VICTORY BLVD STE 205, RESEDA, CA 91335-6332
(818) 697-0424
Mailing address
19231 VICTORY BLVD STE 205, RESEDA, CA 91335-6332
(818) 697-0424
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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