Organization
STAT DIAGNOSTIC SERVICE, INC.
Active
Organization
STAT DIAGNOSTIC SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKO OGANESIAN RCP (PRESIDENT)
(562) 761-7208
Entity
Organization
Contact information
Practice address
11411 BROOKSHIRE AVE, SUITE 505, DOWNEY, CA 90241-5003
(562) 622-1002
(562) 622-1058
Mailing address
7803 ALDERDALE ST, DOWNEY, CA 90240-2608
(562) 928-1719
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2597996
CA
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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