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General NPI Number Information
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NPI Number | 1982032033
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Entity Type | Organization
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Legal Business Name | PAD DIAGNOSTICS INC
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 10823 ODELL AVE
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City | SUNLAND
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State | CA
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Zip | 91040-2438
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Country | US
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Telephone | 818-875-4185
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Fax | 818-875-4195
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Provider Business Mailing Address
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Address Line | 10823 ODELL AVE
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City | SUNLAND
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State | CA
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Zip | 91040-2438
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Country | US
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Telephone | 818-875-4185
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Fax | 818-875-4195
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. ARMAN PETROSIAN
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Credential | ARDMS
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Telephone | 818-875-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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