Adr Diagnostic Services

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ADR DIAGNOSTIC SERVICES

Practice address

14553 Delano St
Suite # 206
Van Nuys, CA 91411-2858

Phone

(818) 908-8801

Fax

(818) 908-9875

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dmitry Reznik, RDCS, RVT

Title

Owner

Phone

(818) 908-8801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730139411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14553 DELANO ST",
            "address_2": "SUITE # 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112858",
            "telephone_number": "818-908-8801",
            "fax_number": "818-908-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14553 DELANO ST",
            "address_2": "SUITE # 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112858",
            "telephone_number": "818-908-8801",
            "fax_number": "818-908-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADR DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-908-8801",
        "authorized_official_credential": "RDCS, RVT"
    },
    "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 Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.