Provider Demographics
NPI:1538633136
Name:PATHOLOGY LA INC.
Entity type:Organization
Organization Name:PATHOLOGY LA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRIGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-637-7771
Mailing Address - Street 1:4634 SAN FERNANDO RD
Mailing Address - Street 2:SAME AS ABOVE
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204
Mailing Address - Country:US
Mailing Address - Phone:818-637-7771
Mailing Address - Fax:818-637-7772
Practice Address - Street 1:4634 SAN FERNANDO RD.
Practice Address - Street 2:SAME AS ABOVE
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204
Practice Address - Country:US
Practice Address - Phone:818-637-7771
Practice Address - Fax:818-637-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory