Provider Demographics
NPI:1982619771
Name:PULSAR PORTABLE X-RAY AND MEDICAL SERVICES
Entity Type:Organization
Organization Name:PULSAR PORTABLE X-RAY AND MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ GENERAL PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABELL
Authorized Official - Middle Name:
Authorized Official - Last Name:LENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:818-757-1919
Mailing Address - Street 1:23256 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2408
Mailing Address - Country:US
Mailing Address - Phone:818-887-6173
Mailing Address - Fax:818-757-3134
Practice Address - Street 1:7601 CANBY AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2953
Practice Address - Country:US
Practice Address - Phone:818-757-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR059993Medicare ID - Type UnspecifiedPORTABLE X-RAY