Provider Demographics
NPI:1295569713
Name:CORTEX LAB INC
Entity type:Organization
Organization Name:CORTEX LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARGISHT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-7037
Mailing Address - Street 1:14435 HAMLIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6205
Mailing Address - Country:US
Mailing Address - Phone:818-818-7037
Mailing Address - Fax:818-849-6841
Practice Address - Street 1:14435 HAMLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6205
Practice Address - Country:US
Practice Address - Phone:818-818-7037
Practice Address - Fax:818-849-6841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory