MEDICARE: VARTMED 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	247100000X	Radiologic Technologist

General Provider Information

NPI Number	:	1770517948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARTMED DIAGNOSTICS INC

Provider Business Mailing Address
First Line	:	10523 BURBANK BLVD
Second Line	:	SUITE 114
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91601-2233
Country	:	US
Telephone Number	:	818-509-9955
Fax Number	:	818-509-9919

Provider Business Practice Location Address
First Line	:	10523 BURBANK BLVD
Second Line	:	SUITE 114
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91601-2233
Country	:	US
Telephone Number	:	818-509-9955
Fax Number	:	818-509-9919

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SARKIS VARDUMYAN
Credential	:
Telephone Number	:	818-509-9955

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/22/2020

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