Provider Demographics
NPI:1174284483
Name:DIAGNOSTIC RELIEF INC
Entity Type:Organization
Organization Name:DIAGNOSTIC RELIEF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANUSHAVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-405-1027
Mailing Address - Street 1:6857 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2710
Mailing Address - Country:US
Mailing Address - Phone:818-405-1027
Mailing Address - Fax:
Practice Address - Street 1:6857 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2710
Practice Address - Country:US
Practice Address - Phone:818-405-1027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory