Provider Demographics
NPI:1508330465
Name:AR DIAGNOSTIC SERVICES INC
Entity Type:Organization
Organization Name:AR DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-384-0272
Mailing Address - Street 1:4201 WILSHIRE BLVD # 334A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3601
Mailing Address - Country:US
Mailing Address - Phone:818-384-0272
Mailing Address - Fax:323-545-0515
Practice Address - Street 1:4201 WILSHIRE BLVD # 334A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-3601
Practice Address - Country:US
Practice Address - Phone:818-384-0272
Practice Address - Fax:323-545-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile