Provider Demographics
NPI:1669493870
Name:PARAMOUNT DIAGNOSTICS INC
Entity Type:Organization
Organization Name:PARAMOUNT DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:ISAAK
Authorized Official - Last Name:PROSOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-330-0583
Mailing Address - Street 1:8306 WILSHIRE BLVD
Mailing Address - Street 2:# 384
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5900 WILSHIRE BLVD
Practice Address - Street 2:SUITE 2600
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-5013
Practice Address - Country:US
Practice Address - Phone:323-330-0583
Practice Address - Fax:323-330-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology