Healthcare Provider Details

I. General information

NPI: 1285675645
Provider Name (Legal Business Name): USA PROFESSIONAL DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 E OLIVE AVE UNIT G
BURBANK CA
91502-1235
US

IV. Provider business mailing address

348 E OLIVE AVE UNIT G
BURBANK CA
91502-1235
US

V. Phone/Fax

Practice location:
  • Phone: 818-845-1513
  • Fax: 818-845-1516
Mailing address:
  • Phone: 818-845-1513
  • Fax: 818-845-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: ARA KARAPEDIAN
Title or Position: CEO
Credential:
Phone: 818-845-1513