Provider Demographics
NPI:1033201090
Name:ZORKA MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:ZORKA MANAGEMENT COMPANY INC
Other - Org Name:PHYSICIANS DIAGNOSTIC REFERENCE LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZORKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHAYLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-845-5320
Mailing Address - Street 1:709 SOUTH MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2528
Mailing Address - Country:US
Mailing Address - Phone:818-845-5320
Mailing Address - Fax:818-845-5052
Practice Address - Street 1:709 SOUTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2528
Practice Address - Country:US
Practice Address - Phone:818-845-5320
Practice Address - Fax:818-845-5052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF683291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB58787FMedicaid
05D0642420Medicare ID - Type Unspecified
CALAB58787FMedicaid