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Organization

VENTURADIAGNOSTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YEVGENIY CHAPOVSKIY (OWNER)
(818) 708-0071
Entity
Organization

Contact information

Practice address
18075 VENTURA BLVD, ENCINO, CA 91316-3517
(818) 708-0071
(818) 708-8635
Mailing address
18075 VENTURA BLVD, ENCINO, CA 91316-3517
(818) 708-0071
(818) 708-8635

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/03/2006
Last updated
08/22/2020
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