Basic Information
| Provider Information | |||||||||
| NPI: | 1659969376 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NOBILITY HEALTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 435 ARDEN AVE | ||||||||
| Address2: | #370 | ||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186004731 | ||||||||
| FaxNumber: | 8184842449 | ||||||||
| Practice Location | |||||||||
| Address1: | 435 ARDEN AVE | ||||||||
| Address2: | #370 | ||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186004731 | ||||||||
| FaxNumber: | 8184842449 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2021 | ||||||||
| LastUpdateDate: | 06/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | MORADI | ||||||||
| AuthorizedOfficialFirstName: | SILVA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8186960091 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.