Organization
MOTION PICTURE AND TELEVISION FUND
Active
Organization
MOTION PICTURE AND TELEVISION FUND
Active
Other names
MOTION PICTURE AND TELEVISION FUND LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B TILLMAN MD (CEO/PRESIDENT)
(818) 876-1767
Entity
Organization
Contact information
Practice address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(818) 876-1050
(818) 591-1614
Mailing address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(818) 876-1050
(818) 591-1614
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0689437
CLIA
CA
Enumeration date
07/31/2009
Last updated
07/31/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up