Sky Diagnostics, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SKY DIAGNOSTICS, INC.

Practice address

1825 N Gramercy PL
# 204
Los Angeles, CA 90028-5870

Phone

(323) 466-5018

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alex Kozonashvili

Title

Owner

Phone

(323) 610-1035

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013931518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N GRAMERCY PL",
            "address_2": "# 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285870",
            "telephone_number": "323-466-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N GRAMERCY PL",
            "address_2": "# 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285870",
            "telephone_number": "323-466-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZONASHVILI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-610-1035"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF PROVIDER NUMBER",
            "identifier": "TG440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skull Base Medical Group, Inc (Skull Base Institute)
• Skull Base Surgery Institute Professional Corporation
• Stacey Skura Zedeck, R.N.
• Christy Lynn Skura, DPT, PCS
• Boris Skuratovich
• Boris M Skyar, M.D.
• Skyfall Physical Therapy
• Skyline Healthcare & Wellness Center, LLC (Skyline Healthcare Center)
• Skyline Recovery Center
• Skyline Sleep Center Apc

• Physiological Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.