Organization · NPI-2

Central Neuro Diagnostic, INC

Physiological Laboratory · Glendale, CA

NPI number1902034408
StatusActive
Last updated in NPPESSep 26, 2012

Details

NPI
1902034408
Entity type
Organization (NPI-2)
Legal business name
Central Neuro Diagnostic, INC
Organization subpart
No
Enumeration date
Jun 23, 2009
Last updated
Sep 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory––Yes

Practice location

330 N Brand Blvd
Suite 180
Glendale, CA 91203-2308

Phone 818-247-1718 · Fax 818-247-1817

Mailing address

330 N Brand Blvd
Suite 180
Glendale, CA 91203-2325

Authorized official

Susanna Yagubyan
Manager
8183896568

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