Organization Name: | LA STAT IMAGING, INC. |
NPI Number: | 1295743359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VLADISLAV TCHERNIAVSKY (PRESIDENT) |
Mailing Address: | 8230 Beverly Blvd Suite # 30, Los Angeles |
State: | CA US |
Postal Code: | 900484528 |
Phone Number: | 3236535547 |
Fax Number: | 3236535784 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 02/05/2008 |
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 |