Provider Demographics
NPI:1609085851
Name:LABX, INC
Entity Type:Organization
Organization Name:LABX, INC
Other - Org Name:AMERICAN PREMIER LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:AIDINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-344-3737
Mailing Address - Street 1:6850 CANBY AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4310
Mailing Address - Country:US
Mailing Address - Phone:818-344-3737
Mailing Address - Fax:818-344-3535
Practice Address - Street 1:6850 CANBY AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4310
Practice Address - Country:US
Practice Address - Phone:818-344-3737
Practice Address - Fax:818-344-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF328586291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACLF328586OtherSTATE LAB LICENSE
CACLF328586OtherSTATE LAB LICENSE