OrganizationActive
Professional Clinical Laboratory
NPI 1588004196 · Clinical Medical Laboratory · Los Angeles, CA
Professional Clinical Laboratory is a Clinical Medical Laboratory organization in Los Angeles, CA (NPI 1588004196).
Provider details
- NPI number
- 1588004196
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Shayefar, President(310) 360-0022
- License
- 05D2048878 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
432 S San Vicente Blvd Ste 200a
Los Angeles, CA 90048-4183
Phone: (310) 360-0022
Street-level locationGet directions
Mailing address
432 S San Vicente Blvd Ste 200a
Los Angeles, CA 90048-4183
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2013-06-27
Frequently asked questions
- What is Professional Clinical Laboratory's NPI number?
- Professional Clinical Laboratory's National Provider Identifier (NPI) is 1588004196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Clinical Laboratory?
- Professional Clinical Laboratory is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Professional Clinical Laboratory located?
- Professional Clinical Laboratory's practice location on file with NPPES is 432 S San Vicente Blvd Ste 200a, Los Angeles, CA 90048-4183.
- What is Professional Clinical Laboratory's phone number?
- The practice phone number listed in the NPPES registry for Professional Clinical Laboratory is (310) 360-0022.
- Who is the authorized official for Professional Clinical Laboratory?
- The authorized official listed on Professional Clinical Laboratory's NPPES record is John Shayefar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Clinical Laboratory's NPI active?
- Yes — Professional Clinical Laboratory's NPI (1588004196) is active in the NPPES registry as of the last update on 2013-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.