Provider Demographics
NPI:1073642815
Name:NSN ASSOCIATES INC
Entity Type:Organization
Organization Name:NSN ASSOCIATES INC
Other - Org Name:EXPRESS DIAGNOSTIC SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ARMINEH
Authorized Official - Middle Name:
Authorized Official - Last Name:AVDISSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-382-6247
Mailing Address - Street 1:3200 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1333
Mailing Address - Country:US
Mailing Address - Phone:213-382-6247
Mailing Address - Fax:213-382-6259
Practice Address - Street 1:3200 WILSHIRE BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1333
Practice Address - Country:US
Practice Address - Phone:213-382-6247
Practice Address - Fax:213-382-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY12271Medicare UPIN
CATD085Medicare ID - Type Unspecified