Candu Lab Services Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CANDU LAB SERVICES INC

Practice address

6650 Reseda Blvd
1 04
Reseda, CA 91335-5340

Phone

(818) 782-0000

NPI assigned

Nov 7, 2009

Organization subpart

No

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

Authorized official

Name

Mark Gurrola

Title

Manager

Phone

(818) 782-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257552000000",
    "number": "1710214093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RESEDA BLVD",
            "address_2": "1 04",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355340",
            "telephone_number": "818-782-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RESEDA BLVD",
            "address_2": "1 04",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355340",
            "telephone_number": "818-782-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDU LAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-07",
        "last_updated": "2009-11-07",
        "status": "A",
        "authorized_official_last_name": "GURROLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-782-0000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; 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.