NPIMap

Organization Active NPI

KRG Diagnostic Inc

  • Physiological Laboratory
  • Los Angeles, CA
National Provider Identifier
1326338823
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
KRG DIAGNOSTIC INC
Practice address
2404 Wilshire Blvd
Suite 5F
Los Angeles, CA 90057-3310
Phone
(323) 786-8471
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Erna Gasparyan
Title
President
Phone
(323) 786-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X CA Primary

Addresses

Primary practice location

2404 Wilshire Blvd
Suite 5F
Los Angeles, CA 90057-3310

Mailing address

2404 Wilshire Blvd
Suite 5F
Los Angeles, CA 90057-3310
Phone (323) 786-8471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1326338823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WILSHIRE BLVD",
            "address_2": "SUITE 5F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573310",
            "telephone_number": "323-786-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WILSHIRE BLVD",
            "address_2": "SUITE 5F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573310",
            "telephone_number": "323-786-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRG DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "ERNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-786-8471"
    },
    "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 Apr 18, 2011; 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.