Provider Demographics
NPI:1770289456
Name:APEX LABS INC
Entity type:Organization
Organization Name:APEX LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAISA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYTAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-562-9066
Mailing Address - Street 1:5301 LAUREL CANYON BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2771
Mailing Address - Country:US
Mailing Address - Phone:818-824-3220
Mailing Address - Fax:818-824-3229
Practice Address - Street 1:5301 LAUREL CANYON BLVD STE 140
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2771
Practice Address - Country:US
Practice Address - Phone:818-824-3220
Practice Address - Fax:818-824-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory