Organization
BAYWELL DIAGNOSTIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ALEXANYAN (OFFICE MANAGER)
(818) 497-3476
Entity
Organization
Contact information
Practice address
17404 HORACE ST, GRANADA HILLS, CA 91344
(818) 497-3476
Mailing address
17404 HORACE ST, GRANADA HILLS, CA 91344
(818) 497-3476
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/03/2014
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