Provider Demographics
NPI:1851070692
Name:QUANTUM LAB INC
Entity Type:Organization
Organization Name:QUANTUM LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-484-7256
Mailing Address - Street 1:520 E BROADWAY STE 408A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4926
Mailing Address - Country:US
Mailing Address - Phone:818-484-7256
Mailing Address - Fax:818-649-1058
Practice Address - Street 1:520 E BROADWAY STE 408A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4926
Practice Address - Country:US
Practice Address - Phone:818-484-7256
Practice Address - Fax:818-649-1058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory