Healthcare Provider Details

I. General information

NPI: 1457036014
Provider Name (Legal Business Name): G & M LABTESTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7341 FOOTHILL BLVD STE 202
TUJUNGA CA
91042-2795
US

IV. Provider business mailing address

7341 FOOTHILL BLVD STE 202
TUJUNGA CA
91042-2795
US

V. Phone/Fax

Practice location:
  • Phone: 747-256-9745
  • Fax:
Mailing address:
  • Phone: 747-256-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: GEVORG HOVHANNISYAN
Title or Position: PRESIDENT
Credential:
Phone: 747-256-9745