Provider Demographics
NPI:1073321600
Name:HEMO TECH LAB, INC
Entity type:Organization
Organization Name:HEMO TECH LAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARUTUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-722-3730
Mailing Address - Street 1:3014 N HOLLYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1026
Mailing Address - Country:US
Mailing Address - Phone:818-722-3730
Mailing Address - Fax:
Practice Address - Street 1:3014 N HOLLYWOOD WAY
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1026
Practice Address - Country:US
Practice Address - Phone:818-722-3730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory