Organization Name: | A J DIAGNOSTIC INC |
NPI Number: | 1982659520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VOSKY TSEROUNIAN (CEO) |
Mailing Address: | 318 1/2 N Brand Blvd Glendale |
State: | CA US |
Postal Code: | 912032304 |
Phone Number: | 8182461956 |
Fax Number: | 8182460161 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |