MAK DIAGNOSTIC SERVICES INC. NPI 1093799108

NPI Information

NPI: 1093799108
Provider Name: MAK DIAGNOSTIC SERVICES, INC.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
292 S LA CIENEGA BLVD
STE 202
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 289-0217
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MAK DIAGNOSTIC SERVICES, INC. is a radiology clinic center in Beverly Hills, CA. MAK DIAGNOSTIC SERVICES, INC. NPI is 1093799108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

292 S LA CIENEGA BLVD
STE 202
BEVERLY HILLS, CA
ZIP 90211-330
Phone: (310) 289-0217
Fax: (310) 289-0372

The provider's authorized official is Boris Gerzenshtein .
The authorized official title is Administrator and has the following contact phone number (310) 289-0217.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 6/11/2020.

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	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	261QR0208X	Clinic/Center	Radiology, Mobile	No
3	293D00000X	Physiological Laboratory		No
4	261QR0200X	Clinic/Center	Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ44102Z	OTHER	CALIFORNIA	B/S ROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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