Lake Side Diagnostics Center, Inc
Lake Side Diagnostics Center, Inc is a Sonography Radiologic Technologist in Valley Glen, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 6
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6908 Varna AveValley Glen, CA 91405-4358
Phone: (818) 985-1999
Fax: (818) 985-1222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mobile Radiology Clinic/Center (primary) | Taxonomy 261QR0208X (CA) |
|---|---|
| Sonography Radiologic Technologist | Taxonomy 2471S1302X |
| Sonography Radiologic Technologist | Taxonomy 2471S1302X (CA) |
| Mobile Radiology Clinic/Center | Taxonomy 261QR0208X |
| Physiological Laboratory | Taxonomy 293D00000X |
| Physiological Laboratory | Taxonomy 293D00000X (CA) |
Record details
| NPI number | 1558550129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yevgeny Kanzburg — President · (818) 985-1999 |
| NPI enumerated | October 19, 2007 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 6908 Varna Ave, Valley Glen, CA 91405-4358 |