Organization
K & T DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADISLAV KOKHAN (CEO)
(818) 787-3217
Entity
Organization
Contact information
Practice address
7120 HAYVENHURST AVE, SUITE 407, VAN NUYS, CA 91406-3813
(818) 787-3217
(818) 787-0858
Mailing address
7120 HAYVENHURST AVE, SUITE 407, VAN NUYS, CA 91406-3813
(818) 787-3217
(818) 787-0858
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
05/18/2006
Last updated
10/06/2022
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