Provider Demographics
NPI:1366207664
Name:CARTER LABORATORIES
Entity type:Organization
Organization Name:CARTER LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIOUNDJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-994-9903
Mailing Address - Street 1:30 FAIRBANKS STE 114
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1688
Mailing Address - Country:US
Mailing Address - Phone:949-988-2001
Mailing Address - Fax:949-988-2002
Practice Address - Street 1:30 FAIRBANKS STE 114
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1688
Practice Address - Country:US
Practice Address - Phone:949-988-2001
Practice Address - Fax:949-988-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory