Provider Demographics
NPI:1326316860
Name:MORIGON TECHNOLOGIES, LLC
Entity Type:Organization
Organization Name:MORIGON TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-823-6717
Mailing Address - Street 1:19836 ACRE ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3301
Mailing Address - Country:US
Mailing Address - Phone:818-823-6717
Mailing Address - Fax:888-502-1516
Practice Address - Street 1:19836 ACRE ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3301
Practice Address - Country:US
Practice Address - Phone:818-823-6717
Practice Address - Fax:888-502-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory