Provider Demographics
NPI:1265627236
Name:PASADENA LABORATORY SERVICES INC
Entity type:Organization
Organization Name:PASADENA LABORATORY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:JANOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-853-1841
Mailing Address - Street 1:12115 MAGNOLIA BLVD
Mailing Address - Street 2:SUITE 292
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4815 S SHERIDAN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-5754
Practice Address - Country:US
Practice Address - Phone:918-853-1841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory