Organization
ADR DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY REZNIK RDCS, RVT (OWNER)
(818) 908-8801
Entity
Organization
Contact information
Practice address
14553 DELANO ST, SUITE # 206, VAN NUYS, CA 91411-2858
(818) 908-8801
(818) 908-9875
Mailing address
14553 DELANO ST, SUITE # 206, VAN NUYS, CA 91411-2858
(818) 908-8801
(818) 908-9875
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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