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Lake Side Diagnostics Center, Inc.
Physiological Laboratory in Valley Glen, California
NPI 1558550129

Lake Side Diagnostics Center, Inc. is a Physiological Laboratory based in Valley Glen, CA. Lake Side Diagnostics Center, Inc. practices in Valley Glen, CA. The NPI Number for Lake Side Diagnostics Center, Inc. is 1558550129 and holds a License No. (California).

The current practice location address for Lake Side Diagnostics Center, Inc. is 6908 Varna Ave, Valley Glen, CA and can be reached out via phone at 818-985-1999 and via fax at 818-985-1222.

Location: 6908 Varna Ave, Valley Glen, CA, 91405-4358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558550129
Provider Name
Lake Side Diagnostics Center, Inc.
Credential
Provider Entity Type
Organization
Address
6908 Varna Ave, Valley Glen, CA, 91405-4358
Phone Number
818-985-1999
Fax Number
818-985-1222
Provider Enumeration Date
10/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3311838 05 CA
institution
Provider Business Practice Location Address Details
Address
6908 Varna Ave
City
Valley Glen
State
California
Zip
91405-4358
Phone Number
818-985-1999
Fax Number
818-985-1222
person
Provider Business Mailing Address Details
Address
6908 Varna Ave
City
Valley Glen
State
California
Zip
91405-4358
Phone Number
818-985-1999
Fax Number
818-985-1222
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
2471S1302X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
261QR0208X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
Definition
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 laboratory regulations because there are no health and safety regulations for physiological services.
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