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General NPI Number Information
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NPI Number | 1700975844
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Entity Type | Organization
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Legal Business Name | L AND S DIAGNOSTIC CENTER INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5170 SANTA MONICA BLVD 218
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City | LOS ANGELES
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State | CA
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Zip | 90029-2428
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Country | US
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Telephone | 323-660-2409
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Fax | 323-912-0138
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Provider Business Mailing Address
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Address Line | 1555 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-5330
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Country | US
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Telephone | 323-660-2409
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Fax | 323-912-0138
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ELEONORA MAGHDASHYAN
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Credential |
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Telephone | 323-660-2409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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