National Provider Identifier Database

MODERN DIAGNOSTICS MEDICAL SERVICES
Electroneurodiagnostic


Contact Information

MODERN DIAGNOSTICS MEDICAL SERVICES
2601 OCEAN PARK BLVD
SUITE 100
SANTA MONICA, CA90405
Phone: 310-314-8250
Fax: 310-314-8266
Website:
Specialty Taxonomy Code
* Electroneurodiagnostic 246ZE0600X

* Indicates primary specialty

NPI Profile & details for MODERN DIAGNOSTICS MEDICAL SERVICES

NPI Number 1306094628
Legal business name
LBN
MODERN DIAGNOSTICS MEDICAL SERVICES
Authorized official MARK LIKER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/28/2008
Last updated 08/28/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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