IMIR METUSHI – NPI #1093478125
Specialist/Technologist, Pathology

IMIR METUSHI is a technologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1093478125 to IMIR METUSHI on October 15, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QC1000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Chemistry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMIR METUSHI below.

NPI Profile for
IMIR METUSHI

NPI Number
1093478125
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
IMIR METUSHI
Primary location
10833 LE CONTE AVE RM 231U
LOS ANGELES, CA 90095-3075
Phone: (760) 686-6282 Fax:
Mailing address
6031 FOUNTAIN PARK LN APT 15
WOODLAND HILLS, CA 91367-3525
Phone: (760) 686-6282 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QC1000X
- Specialist/Technologist, Pathology / Chemistry (Primary)
CA DRH-02018469

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.