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NPI Code Detail

MEDICARE: HEMO TECH LAB, INC

MEDICARE: HEMO TECH LAB, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1073321600
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEMO TECH LAB, INC
Provider Business Mailing Address
First Line : 3014 N HOLLYWOOD WAY
Second Line :
City : BURBANK
State : CA
Zip : 91505-1026
Country : US
Telephone Number : 818-722-3730
Fax Number :
Provider Business Practice Location Address
First Line : 3014 N HOLLYWOOD WAY
Second Line :
City : BURBANK
State : CA
Zip : 91505-1026
Country : US
Telephone Number : 818-722-3730
Fax Number :
Authorized Official
Title or Position : CEO
Name : ARUTUN KALASHYAN
Credential :
Telephone Number : 818-722-3730
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/30/2024

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Directions to “HEMO TECH LAB, INC ” Practice Location

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