Organization
AVICENNA LABORATORY DIAGNOSTICS, INC.
Active
Organization
AVICENNA LABORATORY DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PUNZALAN RUBIO (DIRECTOR)
(626) 201-9893
Entity
Organization
Contact information
Practice address
20011 VENTURA BLVD STE 1002A, WOODLAND HILLS, CA 91364-2633
(818) 914-5597
(818) 914-5596
Mailing address
20011 VENTURA BLVD STE 1002A, WOODLAND HILLS, CA 91364-2633
(818) 914-5597
(818) 914-5596
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 00349262
CA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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