Organization
MEDICAL SCIENCE LABORATORY INC
Active
Organization
MEDICAL SCIENCE LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMBAKSH TAVAKOLI CHS (PRESIDENT)
(310) 360-0066
Entity
Organization
Contact information
Practice address
432 S SAN VICENTE BLVD STE 200, LOS ANGELES, CA 90048-4192
(310) 360-0066
(310) 360-0302
Mailing address
432 S SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-4183
(310) 360-0066
(310) 360-0302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1082642
CA
Other
Enumeration date
09/05/2008
Last updated
03/17/2009
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