National Provider Identifier Database

OLIVE PROFESSIONAL DIAGNOSTIC INC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

OLIVE PROFESSIONAL DIAGNOSTIC, INC.
224 E OLIVE AVE STE 212
BURBANK, CA91502-1234
Phone: 818-848-8962
Fax: 818-848-8972
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for OLIVE PROFESSIONAL DIAGNOSTIC, INC.

NPI Number 1750312781
Legal business name
LBN
OLIVE PROFESSIONAL DIAGNOSTIC, INC.
Authorized official SUSANNA KARAPEDYAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/06/2006
Last updated 08/22/2020 - About 6 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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