Provider Demographics
NPI: | 1407909161 |
---|---|
Name: | MEDISCAN DIAGNOSTIC SERVICES, INC. |
Entity Type: | Organization |
Organization Name: | MEDISCAN DIAGNOSTIC SERVICES, INC. |
Other - Org Name: | MEDISCAN STAFFING SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | VAL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SEREBRYANY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 818-758-4224 |
Mailing Address - Street 1: | 21050 CALIFA ST STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | WOODLAND HILLS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91367-5103 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-758-4224 |
Mailing Address - Fax: | 818-758-4220 |
Practice Address - Street 1: | 21050 CALIFA ST STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | WOODLAND HILLS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91367-5103 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-758-4224 |
Practice Address - Fax: | 818-758-4220 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-18 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Not Answered | 246X00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist Cardiovascular | Group - Multi-Specialty | |
Not Answered | 246ZE0500X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | EEG | Group - Multi-Specialty |
Not Answered | 247100000X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Group - Multi-Specialty | |
Not Answered | 2471C3401X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Computed Tomography | Group - Multi-Specialty |
Not Answered | 2471C3402X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Radiography | Group - Multi-Specialty |
Not Answered | 2471M1202X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Magnetic Resonance Imaging | Group - Multi-Specialty |
Not Answered | 2471M2300X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Mammography | Group - Multi-Specialty |
Not Answered | 2471N0900X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Nuclear Medicine Technology | Group - Multi-Specialty |
Not Answered | 2471R0002X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Radiation Therapy | Group - Multi-Specialty |
Not Answered | 2471V0105X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Vascular Sonography | Group - Multi-Specialty |