Organization Active NPI

Ultrascan Services

  • Physiological Laboratory
  • Los Angeles, CA
National Provider Identifier
1063479566
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ULTRASCAN SERVICES
Practice address
6210 Wilshire Blvd
Suite #201
Los Angeles, CA 90048-5105
Phone
(323) 954-8131
Fax
(323) 954-8127
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mr. Arthur Khachaturyan, RDMS, RVT, RDCS
Title
General Partner
Phone
(323) 954-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

6210 Wilshire Blvd
Suite #201
Los Angeles, CA 90048-5105

Mailing address

PO Box 93215
Los Angeles, CA 90093-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000401 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7618861154 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1800 N Highland Ave
Ste 602A
Hollywood, CA 90028
Phone (323) 465-9353

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1063479566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900930215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WILSHIRE BLVD",
            "address_2": "SUITE #201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485105",
            "telephone_number": "323-954-8131",
            "fax_number": "323-954-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASCAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "KHACHATURYAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "323-954-8131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.