Provider Demographics
NPI:1811223399
Name:DIAGNOSTIC MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:DIAGNOSTIC MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-505-3396
Mailing Address - Street 1:1014 S WESTLAKE BLVD
Mailing Address - Street 2:SUITE 14-124
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3108
Mailing Address - Country:US
Mailing Address - Phone:213-505-3396
Mailing Address - Fax:805-482-5490
Practice Address - Street 1:1014 S WESTLAKE BLVD
Practice Address - Street 2:SUITE 14-124
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-3108
Practice Address - Country:US
Practice Address - Phone:213-505-3396
Practice Address - Fax:805-482-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty