Provider Demographics
NPI:1407909161
Name:MEDISCAN DIAGNOSTIC SERVICES, INC.
Entity type:Organization
Organization Name:MEDISCAN DIAGNOSTIC SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEREBRYANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-758-4224
Mailing Address - Street 1:21050 CALIFA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5103
Mailing Address - Country:US
Mailing Address - Phone:818-758-4224
Mailing Address - Fax:818-758-4220
Practice Address - Street 1:21050 CALIFA ST STE 100
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5103
Practice Address - Country:US
Practice Address - Phone:818-758-4224
Practice Address - Fax:818-758-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
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