| Organization Name: | DOCTORS DIAGNOSTIC CENTER OF THE VALLEY |
| NPI Number: | 1073721502 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIHAD AL IMAMI (PRESIDENT) |
| Mailing Address: | 14148 Magnolia Blvd Suite 102 Sherman Oaks |
| State: | CA US |
| Postal Code: | 914236413 |
| Phone Number: | 8189900880 |
| Fax Number: | 8189900439 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |