Provider Demographics
NPI:1649310707
Name:DVT DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:DVT DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKHCHINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS / RVT / MS-RIS
Authorized Official - Phone:818-534-8288
Mailing Address - Street 1:20376 VIA BOTTICELLI
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4437
Mailing Address - Country:US
Mailing Address - Phone:818-534-8288
Mailing Address - Fax:818-357-5689
Practice Address - Street 1:7345 TOPANGA CANYON BLVD # 240
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1244
Practice Address - Country:US
Practice Address - Phone:818-534-8288
Practice Address - Fax:818-357-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1055212471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty