Provider Demographics
NPI:1457036014
Name:G & M LABTESTING INC
Entity Type:Organization
Organization Name:G & M LABTESTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVHANNISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-256-9745
Mailing Address - Street 1:7341 FOOTHILL BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2795
Mailing Address - Country:US
Mailing Address - Phone:747-256-9745
Mailing Address - Fax:
Practice Address - Street 1:7341 FOOTHILL BLVD STE 202
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2795
Practice Address - Country:US
Practice Address - Phone:747-256-9745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory