DLS Pacific

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

ARDMS # 104997 Issued in MD

Legal business name

DLS PACIFIC

Practice address

18433 Hatteras St
# 306
Tarzana, CA 91356-1955

Phone

(310) 279-6973

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By 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

Denis Soldatenko, RVT

Title

Ceo

Phone

(310) 279-6973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1144568114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 HATTERAS ST",
            "address_2": "# 306",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561955",
            "telephone_number": "310-279-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 HATTERAS ST",
            "address_2": "# 306",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561955",
            "telephone_number": "310-279-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLS PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SOLDATENKO",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-279-6973",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MD",
            "license": "ARDMS # 104997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.