Provider Demographics
NPI:1326060328
Name:CTON CORPORATION
Entity Type:Organization
Organization Name:CTON CORPORATION
Other - Org Name:C-TON LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KABBANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-376-5812
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-0609
Mailing Address - Country:US
Mailing Address - Phone:562-945-1220
Mailing Address - Fax:
Practice Address - Street 1:3870 DEL AMO BLVD
Practice Address - Street 2:SUITE 504
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2165
Practice Address - Country:US
Practice Address - Phone:310-376-5812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF 4861291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1326060328Medicaid
CAO5D0699248Medicare ID - Type UnspecifiedPROVIDER NUMBER