Provider Demographics
NPI:1487821591
Name:ACCESS MEDICAL DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:ACCESS MEDICAL DIAGNOSTICS, INC.
Other - Org Name:AMDX
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:877-830-2639
Mailing Address - Street 1:149 S BARRINGTON AVE
Mailing Address - Street 2:SUITE 754
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3310
Mailing Address - Country:US
Mailing Address - Phone:877-830-2639
Mailing Address - Fax:866-770-8867
Practice Address - Street 1:149 S BARRINGTON AVE
Practice Address - Street 2:SUITE 754
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-3310
Practice Address - Country:US
Practice Address - Phone:877-830-2639
Practice Address - Fax:866-770-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty