Organization
LA STAT IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADISLAV TCHERNIAVSKY (PRESIDENT)
(323) 653-5547
Entity
Organization
Contact information
Practice address
8230 BEVERLY BLVD, SUITE # 30,, LOS ANGELES, CA 90048-4528
(323) 653-5547
(323) 653-5784
Mailing address
8230 BEVERLY BLVD, SUITE # 30,, LOS ANGELES, CA 90048-4528
(323) 653-5547
(323) 653-5784
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
08/04/2006
Last updated
02/05/2008
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