Provider Demographics
NPI:1770517948
Name:VARTMED DIAGNOSTICS INC
Entity type:Organization
Organization Name:VARTMED DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-509-9955
Mailing Address - Street 1:10523 BURBANK BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2233
Mailing Address - Country:US
Mailing Address - Phone:818-509-9955
Mailing Address - Fax:818-509-9919
Practice Address - Street 1:10523 BURBANK BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2233
Practice Address - Country:US
Practice Address - Phone:818-509-9955
Practice Address - Fax:818-509-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG443Medicare ID - Type Unspecified