OrganizationActive
21st Century Diagnostic Laboratory, Inc.
NPI 1407861990 · Clinical Medical Laboratory · Burbank, CA
Provider details
- NPI number
- 1407861990
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Hasmik Melkumyan, Sercretary
- License
- 05D0956168 (CA)
Mailing address
121 N Victory Blvd
Burbank, CA 91502-1837
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.