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NPI 1063479566ActiveOrganization· Physiological Laboratory· Los Angeles, CA

Physiological Laboratory in Los Angeles, California, registered in NPPES in April 2006. The authorized official on file is Arthur Khachaturyan, RDMS, RVT, RDCS, General Partner. Medicare paid $199,753 for services to 622 patients in 2024.

Overview

NPI1063479566
StatusActive
Entity typeOrganization
NPI issuedApr 27, 2006
Last updated in NPPESJan 9, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients622
Services billed1,422 across 21 procedure codes
Paid by Medicare$199,753

Medicare sources and data years

Other Physiological Laboratory providers in Los Angeles

All 41 Physiological Laboratory providers in Los Angeles · All Physiological Laboratory providers in California