| Organization Name: | BOBODZHANOV INC |
| NPI Number: | 1013081058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXI BOBODZHANOV (PRESIDENT CEO) |
| Mailing Address: | 8429 Ne 121st Pl Kirkland |
| State: | WA US |
| Postal Code: | 980346027 |
| Phone Number: | 2066214722 |
| Fax Number: | 2066214176 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 12/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |