NPIMap

Organization Active NPI

La Stat Imaging, Inc.

  • Physiological Laboratory
  • Los Angeles, CA
National Provider Identifier
1295743359
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
LA STAT IMAGING, INC.
Practice address
8230 Beverly Blvd
Suite # 30,
Los Angeles, CA 90048-4528
Phone
(323) 653-5547
Fax
(323) 653-5784
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Vladislav Tcherniavsky
Title
President
Phone
(323) 653-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X CA Primary

Addresses

Primary practice location

8230 Beverly Blvd
Suite # 30,
Los Angeles, CA 90048-4528

Mailing address

8230 Beverly Blvd
Suite # 30,
Los Angeles, CA 90048-4528
Phone (323) 653-5547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1295743359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "SUITE # 30,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "323-653-5547",
            "fax_number": "323-653-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "SUITE # 30,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "323-653-5547",
            "fax_number": "323-653-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA STAT IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "TCHERNIAVSKY",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-653-5547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "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 Feb 5, 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.