Provider Demographics
NPI:1407588098
Name:NITAL LABS INC
Entity Type:Organization
Organization Name:NITAL LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-599-8444
Mailing Address - Street 1:6260 LAUREL CANYON BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3250
Mailing Address - Country:US
Mailing Address - Phone:818-824-3336
Mailing Address - Fax:
Practice Address - Street 1:6260 LAUREL CANYON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3250
Practice Address - Country:US
Practice Address - Phone:818-824-3336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory