Provider Demographics
NPI:1538468608
Name:K & T PORTABLE X-RAY SOLUTIONS
Entity Type:Organization
Organization Name:K & T PORTABLE X-RAY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VLADISLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-909-5954
Mailing Address - Street 1:7120 HAYVENHURST AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3843
Mailing Address - Country:US
Mailing Address - Phone:800-909-5954
Mailing Address - Fax:818-787-0858
Practice Address - Street 1:7120 HAYVENHURST AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3843
Practice Address - Country:US
Practice Address - Phone:800-909-5954
Practice Address - Fax:818-787-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier