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1487783577 NPI number — MDL MEDICAL DIAGNOSIS LABORATORIES

NPI Number: 1487783577
Health Care Provider/Practitioner: MDL MEDICAL DIAGNOSIS LABORATORIES

Information about “1487783577” NPI (MDL MEDICAL DIAGNOSIS LABORATORIES) exists in 1487783577 in HTML format HTML  |  1487783577 in plain Text format TXT  |  1487783577 in PDF (Portable Document Format) PDF  |  1487783577 in an XML format XML  formats.

NPI Number : 1487783577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487783577",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MDL MEDICAL DIAGNOSIS LABORATORIES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2098",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91393-2098",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-815-2200",
    "MailingAddressFaxNumber": "818-760-0520",
    "FirstLinePracticeLocationAddress": "14250 ARMINTA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PANORAMA CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91402-6871",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-815-2200",
    "PracticeLocationAddressFaxNumber": "818-760-0520",
    "EnumerationDate": "03/05/2007",
    "LastUpdateDate": "10/30/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BENJAMIN",
    "AuthorizedOfficialFirstName": "BIALIK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-815-2200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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