Healthcare Provider Details

I. General information

NPI: 1770517948
Provider Name (Legal Business Name): VARTMED DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10523 BURBANK BLVD SUITE 114
N HOLLYWOOD CA
91601-2233
US

IV. Provider business mailing address

10523 BURBANK BLVD SUITE 114
N HOLLYWOOD CA
91601-2233
US

V. Phone/Fax

Practice location:
  • Phone: 818-509-9955
  • Fax: 818-509-9919
Mailing address:
  • Phone: 818-509-9955
  • Fax: 818-509-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SARKIS VARDUMYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-509-9955