# ADVANCED DIAGNOSTIC MEDICAL CLINIC,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376708727
- **Authorized official:** MR. ALBERT NAZARYAN (PRESIDENT/OWNER)
- **Authorized official phone:** (323) 828-4255

## Contact information

- **Practice address:** 6420 RICHMOND AVE STE 580, HOUSTON, TX 77057-5922
- **Practice address phone:** (323) 828-4255
- **Practice address fax:** (818) 767-7228
- **Mailing address:** 6420 RICHMOND AVE STE 580, HOUSTON, TX 77057-5922
- **Mailing address phone:** (323) 828-4255
- **Mailing address fax:** (818) 767-7228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 07/25/2008