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Heritage Labs Inc

NPI 1568158905ActiveOrganization· Pathology, Clinical Pathology· Valley Village, CA

Pathology, Clinical Pathology in Valley Village, California, registered in NPPES in April 2023. The authorized official on file is Avetis Itchmelyan, Ceo. Medicare paid $1,667,032 for services to 1,166 patients in 2024.

Overview

NPI1568158905
StatusActive
Entity typeOrganization
NPI issuedApr 17, 2023
Last updated in NPPESApr 17, 2023
Certified by providerApr 17, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pathology, Clinical Pathology Primary207ZC0006X——

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 Clinical Laboratory (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,166
Services billed48,476 across 11 procedure codes
Paid by Medicare$1,667,032

Medicare sources and data years