Provider Demographics
NPI:1346318615
Name:SCOPE DIAGNOSTIC SERVICES, INC
Entity Type:Organization
Organization Name:SCOPE DIAGNOSTIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JRBASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-260-9636
Mailing Address - Street 1:539 N GLENOAKS BLVD
Mailing Address - Street 2:SUITE 207B
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3201
Mailing Address - Country:US
Mailing Address - Phone:818-260-9636
Mailing Address - Fax:818-260-9097
Practice Address - Street 1:539 N GLENOAKS BLVD
Practice Address - Street 2:SUITE 207B
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3201
Practice Address - Country:US
Practice Address - Phone:818-260-9636
Practice Address - Fax:818-260-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG449Medicare ID - Type Unspecified