OrganizationActive
21053 Devnshire 106
NPI 1245697655 · Clinical Medical Laboratory · Chatsworth, CA
Provider details
- NPI number
- 1245697655
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Yadira Valles, Director of Research(818) 274-1843
- License
- CLF 00328498 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21053 Devonshire St Ste 106
Chatsworth, CA 91311-8247
Phone: (818) 274-1843
Fax: (818) 789-1061
Street-level locationGet directions
Mailing address
21053 Devonshire St Ste 106
Chatsworth, CA 91311-8247
Other names (DBA / former)
- Doing business as
- Ultalab
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2016-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.