Provider Demographics
NPI:1750821732
Name:HUNTINGTON DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:HUNTINGTON DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:STRAUSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-722-3332
Mailing Address - Street 1:2726 E FLORENCE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5747
Mailing Address - Country:US
Mailing Address - Phone:310-722-3332
Mailing Address - Fax:818-849-6515
Practice Address - Street 1:2726 E FLORENCE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5747
Practice Address - Country:US
Practice Address - Phone:310-722-3332
Practice Address - Fax:818-849-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A3638261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology