Organization
NURA DIAGNOSTIC INC
Active
Organization
NURA DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VARDAN D GEMJIAM (PRESIDENT)
(626) 510-6189
Entity
Organization
Contact information
Practice address
900 VALLEY VIEW AVE UNIT 6, PASADENA, CA 91107-1976
(626) 510-6189
(626) 510-6258
Mailing address
900 VALLEY VIEW AVE UNIT 6, PASADENA, CA 91107-1976
(626) 510-6189
(626) 510-6258
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2246783
CLIA ID
CA
01
—
CLF-90005524
CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE
CA
Enumeration date
02/16/2022
Last updated
06/04/2024
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