Organization Name: | K&T DIAGNOSTIC, INC. |
NPI Number: | 1013960681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VLADISLAV KOKHAN (CEO) |
Mailing Address: | 7120 Hayvenhurst Ave Suite 407 Van Nuys |
State: | CA US |
Postal Code: | 914063813 |
Phone Number: | 8187873217 |
Fax Number: | 8187870858 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |