Provider Demographics
NPI:1821604265
Name:ARVIA DIAGNOSTICS, INC.
Entity Type:Organization
Organization Name:ARVIA DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-900-8003
Mailing Address - Street 1:356 E OLIVE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1261
Mailing Address - Country:US
Mailing Address - Phone:747-900-8003
Mailing Address - Fax:747-900-8808
Practice Address - Street 1:356 E OLIVE AVE STE 108
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1261
Practice Address - Country:US
Practice Address - Phone:747-900-8003
Practice Address - Fax:747-900-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory