Provider Demographics
NPI:1114971298
Name:BIOLOGICAL LABORATORY INC
Entity Type:Organization
Organization Name:BIOLOGICAL LABORATORY INC
Other - Org Name:SAME AS ABOVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:OVSEPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-708-7088
Mailing Address - Street 1:19231 VICTORY BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6308
Mailing Address - Country:US
Mailing Address - Phone:818-708-7088
Mailing Address - Fax:818-708-7044
Practice Address - Street 1:19231 VICTORY BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6308
Practice Address - Country:US
Practice Address - Phone:818-708-7088
Practice Address - Fax:818-708-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory