CANDU LAB SERVICES INC


Address: 6650 Reseda Blvd, 1 04, Reseda, CA 91335-5340
Phone: 8187820000

CANDU LAB SERVICES INC (NPI# 1710214093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710214093
Entity Type Organization
Organization Name CANDU LAB SERVICES INC
Practice Address 6650 Reseda Blvd
1 04
Reseda
CA 91335-5340
Practice Telephone 8187820000
Mailing Telephone 8187820000
Enumeration Date 2009-11-07
Last Update Date 2009-11-07
Authorized Official Name MARK GURROLA (MANAGER)
Authorized Official Telephone 8187820000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
CA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629218755 Candu Lab Services Inc Internal Medicine 15904 Strathern St, Suite 19, Van Nuys, CA 91406-1314 2009-03-02

Office Location

Street Address 6650 RESEDA BLVD
1 04
City RESEDA
State CA
Zip Code 91335-5340

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1821325275 Endeavour Diagnostics Inc Internal Medicine 6650 Reseda Blvd, Ste 104, Reseda, CA 91335-5340 2009-11-05
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1194822197 Mauricio Fonrodona Dentist 6650 Reseda Blvd, Ste 112, Reseda, CA 91335-5340 2006-09-20

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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NPI Name Taxonomy Address Enumeration
1417567710 Family Medical Diagnostics Inc Radiology 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 2020-08-03
1093243404 Beverly Radiology Medical Group Radiology 8227 Reseda Blvd, Reseda, CA 91335-1247 2017-05-30
1831462092 Central Valley Medical Clinic, Inc Radiology 7227 Reseda Blvd, Reseda, CA 91335-3046 2012-02-20

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1396365011 Prodiagnose Inc Radiology 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 2020-04-22
1548892276 Alvarado Radiology Group Inc, A Professional Corporation Radiology 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 2020-02-11
1710518535 Health Diagnostics of California A Professional Corporation Radiology 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 2020-01-30
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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