MEDICARE: GLOBAL DIAGNOSTIC 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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1215880117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL DIAGNOSTIC LAB INC

Provider Business Mailing Address
First Line	:	26 N OAK AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 N OAK AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3519
Country	:	US
Telephone Number	:	818-284-8744
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANNA PANOSYAN
Credential	:
Telephone Number	:	818-284-8744

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “GLOBAL DIAGNOSTIC LAB INC ” Practice Location

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