NPIMap

Organization Active NPI

Western Diagnostic

  • Physiological Laboratory
  • Los Angeles, CA
National Provider Identifier
1922051820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
WESTERN DIAGNOSTIC
Practice address
8425 W 3Rd St
Suite 203
Los Angeles, CA 90048-4126
Phone
(323) 651-9830
Fax
(323) 651-9865
NPI assigned
May 19, 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
Edward Skopinsky
Title
Co-Owner
Phone
(323) 651-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

8425 W 3Rd St
Suite 203
Los Angeles, CA 90048-4126

Mailing address

8425 W 3Rd St
Suite 203
Los Angeles, CA 90048-4126
Phone (323) 651-9830

National Provider Directory

National Provider Directory

Locations

8425 W 3rd St
Ste 203
Los Angeles, CA 90048
Phone (323) 651-9830

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922051820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 W 3RD ST",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484126",
            "telephone_number": "323-651-9830",
            "fax_number": "323-651-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 W 3RD ST",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484126",
            "telephone_number": "323-651-9830",
            "fax_number": "323-651-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKOPINSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "323-651-9830"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, 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.