Provider Demographics
NPI:1700071180
Name:NU ERA CLINICAL LABORATORIES
Entity Type:Organization
Organization Name:NU ERA CLINICAL LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-860-3913
Mailing Address - Street 1:18341 SHERMAN WAY
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 MOTOR INN DR
Practice Address - Street 2:SUITE 140
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2481
Practice Address - Country:US
Practice Address - Phone:330-860-3913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory