Active NPI
Reliable Diagnostics Services, Inc.
- Clinical Medical Laboratory
- Pasadena, CA
National Provider Identifier
1669411054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- RELIABLE DIAGNOSTICS SERVICES, INC.
- Practice address
- 30 N. Raymond Ave
Suite Number 208
Pasadena, CA 91103 - Phone
- (626) 737-0286
- Fax
- (888) 432-1787
- NPI assigned
- Jun 4, 2006
- 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. Yevgeny Ravin
- Title
- President
- Phone
- (626) 737-0286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
30 N. Raymond Ave
Suite Number 208
Pasadena, CA 91103
Mailing address
30 N. Raymond Ave
Suite Number 208
Pasadena, CA 91103
Phone (626) 737-0286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060202000382 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5597779116 | Practice locations: Pasadena, CA |
National Provider Directory
National Provider DirectoryLocations
30 N Raymond Ave
Ste 809
Pasadena, CA 91103
Phone (626) 737-0286
30 N Raymond Ave
Ste 208
Pasadena, CA 91103
Phone (626) 737-0286
22600 Ventura Blvd
#W
Woodland Hills, CA 91364
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Sacramento, CA
- NPI 1932239837
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1992927719
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1902858368
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1316065683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1669411054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N. RAYMOND AVE",
"address_2": "SUITE NUMBER 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "91103",
"telephone_number": "626-737-0286",
"fax_number": "888-432-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N. RAYMOND AVE",
"address_2": "SUITE NUMBER 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "91103",
"telephone_number": "626-737-0286",
"fax_number": "888-432-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLE DIAGNOSTICS SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "RAVIN",
"authorized_official_first_name": "YEVGENY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-737-0286",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.