MEDICARE: VIO DIAGNOSTICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225B00000X	Pulmonary Function Technologist

General Provider Information

NPI Number	:	1730261264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIO DIAGNOSTICS INC

Provider Business Mailing Address
First Line	:	1146 N CENTRAL AVE
Second Line	:	139
City	:	GLENDALE
State	:	CA
Zip	:	91202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3171 LOS FELIZ BLVD
Second Line	:	211
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1527
Country	:	US
Telephone Number	:	323-662-3071
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	OLESIA MARTYUSHEVA
Credential	:
Telephone Number	:	323-662-3327

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/22/2020

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Directions to “VIO DIAGNOSTICS INC ” Practice Location

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