Organization · Type 2 NPI

Hollywood Diagnostic Service

Physiological Laboratory · Los Angeles, CA

NPI number 1760475040 Active

Practice location

7080 Hollywood Blvd, Suite 820
Los Angeles, CA 90028-6906

Fax (323) 463-0106

Mailing address

PO Box 17255
Encino, CA 91416-7255

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

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About NPI 1760475040

Hollywood Diagnostic Service's National Provider Identifier is 1760475040, issued on Aug 23, 2005. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2017.