Organization Active NPI

Excellent Diagnostic, Inc

  • Mobile Radiology Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1295054179
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
EXCELLENT DIAGNOSTIC, INC
Practice address
15016 Ventura Blvd
Ste. 7
Sherman Oaks, CA 91403-2447
Phone
(818) 380-0840
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Volodymyr Zavada
Title
President
Phone
(323) 350-2257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

15016 Ventura Blvd
Ste. 7
Sherman Oaks, CA 91403-2447

Mailing address

15016 Ventura Blvd
Ste. 7
Sherman Oaks, CA 91403-2447
Phone (818) 380-0840

National Provider Directory

National Provider Directory

Locations

15016 Ventura Blvd
Ste 7
Sherman Oaks, CA 91403
Phone (323) 350-2257

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1295054179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15016 VENTURA BLVD",
            "address_2": "STE. 7",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032447",
            "telephone_number": "818-380-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15016 VENTURA BLVD",
            "address_2": "STE. 7",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032447",
            "telephone_number": "818-380-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "ZAVADA",
        "authorized_official_first_name": "VOLODYMYR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-350-2257"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.