Cortex Lab INC
Clinical Medical Laboratory in Van Nuys, CA. Organization (NPI-2).
NPI number1295569713
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1295569713
- Entity type
- Organization (NPI-2)
- Legal business name
- Cortex Lab INC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
14435 Hamlin St Ste 200Van Nuys, CA 91401-6205
Phone 818-818-7037 · Fax 818-849-6841
Mailing address
14435 Hamlin St Ste 200Van Nuys, CA 91401-6205
Phone 818-818-7037 · Fax 818-849-6841
Authorized official
Argisht Shakorian
Ceo
8188187037
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