OrganizationActive
Pacific Clinical Laboratories Inc
NPI 1508937681 · Clinical Medical Laboratory · Beverly Hills, CA
Provider details
- NPI number
- 1508937681
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Dmitry Ivanov, President(310) 246-0025
- License
- CLF10883 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9675 Brighton Way
B200
Beverly Hills, CA 90210-5144
Phone: (310) 246-0025
Street-level locationGet directions
Mailing address
9675 Brighton Way
Beverly Hills, CA 90210-5144
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.