Organization Active NPI

Grant Diagnostic Services,Inc

  • Multi-Specialty Clinic/Center
  • Glendale, CA
National Provider Identifier
1174700405
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GRANT DIAGNOSTIC SERVICES,INC
Practice address
1386 E Garfield Ave
Glendale, CA 91205-2660
Phone
(818) 956-1581
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Grat Kostikian
Title
Owner
Phone
(818) 956-1581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1386 E Garfield Ave
Glendale, CA 91205-2660

Mailing address

1386 E Garfield Ave
Glendale, CA 91205-2660
Phone (818) 956-1581

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1174700405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 E GARFIELD AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052660",
            "telephone_number": "818-956-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 E GARFIELD AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052660",
            "telephone_number": "818-956-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT DIAGNOSTIC SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOSTIKIAN",
        "authorized_official_first_name": "GRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-956-1581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.