{"npi":"1992895643","type":"NPI-2","status":"active","name":{"display":"Megamed Clinical Laboratories INC","other":[],"organization_name":"MEGAMED CLINICAL LABORATORIES INC","authorised_official":"Shapour Motamedi"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7302 CANBY AVE","city":"RESEDA","state":"CA","postal_code":"913353010","country_code":"US","phone":"8186540632","fax":"8186540634"},{"purpose":"MAILING","street_1":"7302 CANBY AVE","city":"RESEDA","state":"CA","postal_code":"913353010","country_code":"US","phone":"8186540632","fax":"8186540634"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"LAB69790G","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"ZZZ64202Z","state":"CA","issuer":"BLUE SHIELD"},{"type_code":"01","label":"Other","value":"CLF011639","state":"CA","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080812000322","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"CA","pac_id":"4284709197"}]},"enumeration_date":"2006-10-13","last_updated":"2014-09-12","_meta":{"source":"NPPES","snapshot_date":"2014-09-12","doc_url":"https://findmynpi.com/api"}}