Organization Active NPI

Reliable Diagnostics Services, Inc.

  • Clinical Medical Laboratory
  • Pasadena, CA
National Provider Identifier
1669411054
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Aug 4, 2009

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20060202000382 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597779116 Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.