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Organization
ARRAY DIAGNOSTICS INC.
Active
Organization
ARRAY DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON PAVLOV (CEO)
(818) 846-8666
Entity
Organization
Contact information
Practice address
640 N. KEYSTONE ST., UNIT # B, BURBANK, CA 91506
(818) 846-8666
(818) 846-8665
Mailing address
640 N KEYSTONE ST, UNIT # B, BURBANK, CA 91506-1900
(818) 846-8666
(818) 846-8665
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
AZ
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
CA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265532659
—
CA
Enumeration date
09/25/2006
Last updated
02/12/2019
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