Provider Demographics
NPI:1629696497
Name:ISCAN MEDICAL IMAGING, INC.
Entity Type:Organization
Organization Name:ISCAN MEDICAL IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YERVAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-244-7080
Mailing Address - Street 1:21822 SHERMAN WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1938
Mailing Address - Country:US
Mailing Address - Phone:818-610-7100
Mailing Address - Fax:800-508-3435
Practice Address - Street 1:21822 SHERMAN WAY STE 201
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1938
Practice Address - Country:US
Practice Address - Phone:818-610-7100
Practice Address - Fax:800-508-3435
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ISCAN MEDICAL IMAGING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier