Provider Demographics
NPI:1285675645
Name:USA PROFESSIONAL DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:USA PROFESSIONAL DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPEDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-845-1513
Mailing Address - Street 1:348 E OLIVE AVE
Mailing Address - Street 2:UNIT G
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1235
Mailing Address - Country:US
Mailing Address - Phone:818-845-1513
Mailing Address - Fax:818-845-1516
Practice Address - Street 1:348 E OLIVE AVE
Practice Address - Street 2:UNIT G
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1235
Practice Address - Country:US
Practice Address - Phone:818-845-1513
Practice Address - Fax:818-845-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG265Medicare PIN