MODERN DIAGNOSTICS MEDICAL SERVICES NPI 1306094628

NPI Information

NPI: 1306094628
Provider Name: MODERN DIAGNOSTICS MEDICAL SERVICES
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
2601 OCEAN PARK BLVD
SUITE 100
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-8250
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MODERN DIAGNOSTICS MEDICAL SERVICES is an electroneurodiagnostic specialist technologist other in Santa Monica, CA. MODERN DIAGNOSTICS MEDICAL SERVICES NPI is 1306094628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2601 OCEAN PARK BLVD
SUITE 100
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-8250
Fax: (310) 314-8266

The provider's authorized official is Mark Andrew Liker .
The authorized official title is Ceo and has the following contact phone number (310) 314-8250.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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