PROFESSIONAL CLINICAL LABORATORY
NPI 1881833036
Clinical Medical Laboratory in Los Angeles, CA

Active since February 11, 2009
432 S SAN VICENTE BLVD # 200A, SUITE 200, LOS ANGELES, CA 90048(310) 360-0066(310) 360-0302 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Professional Clinical Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL CLINICAL LABORATORY (NPI 1881833036) is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since February 2009. The organization lists John Shayefar, President, as its authorized official.

NPPES Registry Identity

NPI1881833036
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROFESSIONAL CLINICAL LABORATORY
Location Address432 S SAN VICENTE BLVD # 200A, SUITE 200Los Angeles, CA 90048-4183
Mailing Address432 S San Vicente Blvd, Suite 200aLos Angeles, CA 90048-4183 · (310) 360-0022 · Fax (310) 360-0302
Fax(310) 360-0302
Organization SubpartNo
Authorized OfficialJohn ShayefarPresident · (310) 360-0022
Enumeration DateFebruary 11, 2009
Last NPPES UpdateJune 25, 2013
NPI 1881833036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in CA · 05D2048878
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
432 S SAN VICENTE BLVD # 200A, Los Angeles, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Clinical Laboratory's NPI number?

The NPI number for Professional Clinical Laboratory is 1881833036. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Professional Clinical Laboratory located?

Professional Clinical Laboratory is located at 432 S San Vicente Blvd # 200A Suite 200, Los Angeles, CA 90048. The listed phone number is (310) 360-0066.

What is Professional Clinical Laboratory's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Professional Clinical Laboratory was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.