NPIMap

Organization Active NPI

Array Diagnostics Inc.

  • Pulmonary Function Technologist
  • Burbank, CA
National Provider Identifier
1265532659
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function TechnologistTaxonomy code 225B00000X
Legal business name
ARRAY DIAGNOSTICS INC.
Practice address
640 N. Keystone St.
Unit # B
Burbank, CA 91506
Phone
(818) 846-8666
Fax
(818) 846-8665
NPI assigned
Sep 25, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Anton PavlovNPI 1295291607
Title
Ceo
Phone
(818) 846-8666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X CA
Sleep Disorder Diagnostic Clinic/Center 261QS1200X AZ
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NV
Pulmonary Function Technologist 225B00000X Primary

Addresses

Primary practice location

640 N. Keystone St.
Unit # B
Burbank, CA 91506

Mailing address

640 N Keystone St
Unit # B
Burbank, CA 91506-1900
Phone (818) 846-8666

Other identifiers 1

IdentifierTypeStateIssuer
1265532659MedicaidCA

National Provider Directory

National Provider Directory

Locations

640 N Keystone St
Ste B
Burbank, CA 91506
Phone (714) 598-7578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1265532659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N KEYSTONE ST",
            "address_2": "UNIT # B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061900",
            "telephone_number": "818-846-8666",
            "fax_number": "818-846-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N. KEYSTONE ST.",
            "address_2": "UNIT # B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-846-8666",
            "fax_number": "818-846-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRAY DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "PAVLOV",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-846-8666"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265532659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.