Provider Demographics
NPI:1467561001
Name:PIN TECH DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:PIN TECH DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANATOLIY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-428-8357
Mailing Address - Street 1:11645 ACAMA ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2909
Mailing Address - Country:US
Mailing Address - Phone:818-752-9600
Mailing Address - Fax:818-753-9600
Practice Address - Street 1:11645 ACAMA ST
Practice Address - Street 2:SUITE 1
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2909
Practice Address - Country:US
Practice Address - Phone:818-752-9600
Practice Address - Fax:818-753-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG225Medicare ID - Type Unspecified