Organization
GRANT DIAGNOSTIC SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAT KOSTIKIAN (OWNER)
(818) 956-1581
Entity
Organization
Contact information
Practice address
1386 E GARFIELD AVE, GLENDALE, CA 91205-2660
(818) 956-1581
Mailing address
1386 E GARFIELD AVE, GLENDALE, CA 91205-2660
(818) 956-1581
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
04/20/2008
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