Healthcare Provider Details

I. General information

NPI: 1730261264
Provider Name (Legal Business Name): VIO DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3171 LOS FELIZ BLVD 211
LOS ANGELES CA
90039-1527
US

IV. Provider business mailing address

1146 N CENTRAL AVE 139
GLENDALE CA
91202
US

V. Phone/Fax

Practice location:
  • Phone: 323-662-3071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number
License Number State

VIII. Authorized Official

Name: OLESIA MARTYUSHEVA
Title or Position: CEO
Credential:
Phone: 323-662-3327