Organization Active NPI

Zeta Diagnostic Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Glendale, CA
National Provider Identifier
1750395174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ZETA DIAGNOSTIC INC
Practice address
610 N Central Ave
Suite 106
Glendale, CA 91203-1403
Phone
(818) 242-1276
Fax
(818) 242-0726
NPI assigned
Jul 28, 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
Vardan Mnatsakanyan
Title
President
Phone
(818) 242-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

610 N Central Ave
Suite 106
Glendale, CA 91203-1403

Mailing address

610 N Central Ave
Suite 106
Glendale, CA 91203-1403
Phone (818) 242-1276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750395174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-242-1276",
            "fax_number": "818-242-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-242-1276",
            "fax_number": "818-242-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZETA DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-1276"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "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.