Provider Demographics
NPI:1518203389
Name:PAP DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:PAP DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:818-505-7254
Mailing Address - Street 1:23542 LYONS AVE
Mailing Address - Street 2:206
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2560
Mailing Address - Country:US
Mailing Address - Phone:661-505-7254
Mailing Address - Fax:866-301-2005
Practice Address - Street 1:23542 LYONS AVE
Practice Address - Street 2:206
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2560
Practice Address - Country:US
Practice Address - Phone:661-505-7254
Practice Address - Fax:866-301-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58992332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies