Lake Side Diagnostics Center, Inc. in Valley Glen - Sonography
Lake Side Diagnostics Center, Inc. - NPI 1558550129
Lake Side Diagnostics Center, Inc. is a Sonography in Valley Glen, California. Lake Side Diagnostics Center, Inc. practices all healthcare services and medical treatments related to Sonography. The NPI Number for Lake Side Diagnostics Center, Inc. is 1558550129. The last update date is 2022-10-26.
Lake Side Diagnostics Center, Inc.'s current location address is 6908 Varna Ave, Valley Glen, California. You can contact this provider via phone number 8189851999 and fax number 8189851222. The mailing address for Lake Side Diagnostics Center, Inc. is 6908 Varna Ave, Valley Glen, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Side Diagnostics Center, Inc. |
|---|---|
| Address | 6908 Varna Ave, Valley Glen, California |
| Phone Number | 8189851999 |
| Fax Number | 8189851222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kanzburg Yevgeny |
| Telephone Number | 8189851999 |
NPI Number Detail
| NPI Number | 1558550129 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2022-10-26 |
Provider Mailing Address Detail
| Address | 6908 Varna Ave |
|---|---|
| City | Valley Glen |
| State | California (CA) |
| Post Code | 914054358 |
| Phone Number | 8189851999 |
| Fax Number | 8189851222 |
Provider's Primary Taxonomy Detail
| Speciality | Sonography |
|---|---|
| Taxonomy | 2471S1302X |
|
Definition: A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3311838 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lake Side Diagnostics Center, Inc. by the Centers for Medicare & Medicaid Services?
The Lake Side Diagnostics Center, Inc. has been assigned the NPI (National Provider Identifier) 1558550129 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lake Side Diagnostics Center, Inc. located?
The Lake Side Diagnostics Center, Inc. is located at 6908 Varna Ave, Valley Glen, CA 914054358.
What is Lake Side Diagnostics Center, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Side Diagnostics Center, Inc.'s area of specialization is Sonography, and the corresponding taxonomy code that categorizes this field of practice is 2471S1302X.
On what date was the 1558550129 assigned to Lake Side Diagnostics Center, Inc.?
The Lake Side Diagnostics Center, Inc. was issued its 1558550129 on 2007-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lake Side Diagnostics Center, Inc.'s information last updated?
The Lake Side Diagnostics Center, Inc.'s information was last updated on 2022-10-26.