NPIMap

Organization Active NPI

Eagle Diagnostic Services, Inc

  • Diagnostic Ultrasound Physician
  • Glendale, CA
National Provider Identifier
1740234764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
EAGLE DIAGNOSTIC SERVICES, INC
Practice address
401 N Brand Blvd
825
Glendale, CA 91203-4427
Phone
(818) 243-2501
Fax
(818) 243-2511
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Akop AyrandzhyanNPI 1124086830
Title
Owner
Phone
(818) 243-2501

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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

401 N Brand Blvd
825
Glendale, CA 91203-4427

Mailing address

401 N Brand Blvd
825
Glendale, CA 91203-4427
Phone (818) 243-2501

National Provider Directory

National Provider Directory

Locations

401 N Brand Blvd
Ste 825
Glendale, CA 91203
Phone (818) 243-2501

Practitioners & affiliated clinicians

Practitioners 1

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740234764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD",
            "address_2": "825",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-243-2501",
            "fax_number": "818-243-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD",
            "address_2": "825",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-243-2501",
            "fax_number": "818-243-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYRANDZHYAN",
        "authorized_official_first_name": "AKOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-243-2501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • 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.