Active NPI
DLS Medical Services Inc
- Physiological Laboratory
- Reseda, CA
National Provider Identifier
1639559008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- DLS MEDICAL SERVICES INC
- Practice address
- 18747 Sherman Way Ste 216
Reseda, CA 91335-4000 - Phone
- (310) 279-6973
- NPI assigned
- Jun 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Denis Soldatenko
- Title
- President
- Phone
- (310) 279-6973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
18747 Sherman Way Ste 216
Reseda, CA 91335-4000
Mailing address
18747 Sherman Way Ste 216
Reseda, CA 91335-4000
Phone (310) 279-6973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160210000145 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9830493162 | Practice locations: Reseda, CA |
National Provider Directory
National Provider DirectoryLocations
1902 Westwood Blvd
Ste 207
Los Angeles, CA 90025
Phone (310) 401-1398
18747 Sherman Way
Ste 216
Reseda, CA 91335
Phone (310) 279-6973
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Sonography Radiologic Technologist
- Los Angeles, CA
- NPI 1336487305
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1992927719
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1629450721
-
- Specialist
- Pacific Palisades, CA
- NPI 1730139148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1639559008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18747 SHERMAN WAY STE 216",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354000",
"telephone_number": "310-279-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18747 SHERMAN WAY STE 216",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354000",
"telephone_number": "310-279-6973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLS MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "SOLDATENKO",
"authorized_official_first_name": "DENIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-279-6973",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.