Medexpress Diagnostic Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MEDEXPRESS DIAGNOSTIC INC.

Practice address

5170 Sepulveda Blvd
280
Sherman Oaks, CA 91403-1171

Phone

(818) 986-3559

Fax

(818) 986-3550

NPI assigned

Jun 3, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alex Shvedov

Title

President

Phone

(310) 553-3559

Specialties & licenses 1

Addresses

Locations

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.

• Larry Kussin, M.D.

  • Diagnostic Radiology Physician
  • Van Nuys, CA
  • NPI 1235189994
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1457399172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "#280",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-986-3559",
            "fax_number": "818-986-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "280",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-986-3559",
            "fax_number": "818-986-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SHVEDOV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-3559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.