Provider Demographics
NPI:1841393287
Name:GLOBAL NEURODIAGNOSTIC SERVICES
Entity Type:Organization
Organization Name:GLOBAL NEURODIAGNOSTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALASANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-956-0500
Mailing Address - Street 1:815 E COLORADO ST
Mailing Address - Street 2:# 220
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1200
Mailing Address - Country:US
Mailing Address - Phone:818-956-0500
Mailing Address - Fax:818-956-8489
Practice Address - Street 1:815 E COLORADO ST STE 220
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4508
Practice Address - Country:US
Practice Address - Phone:818-956-0500
Practice Address - Fax:818-956-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile