SUPREME DIAGNOSTICS INC.


Address: 26213 Veva Way, Calabasas, CA 91302
Phone: 3102792761

SUPREME DIAGNOSTICS INC. (NPI# 1700302684) 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) 1700302684
Entity Type Organization
Organization Name SUPREME DIAGNOSTICS INC.
Practice Address 26213 Veva Way
Calabasas
CA 91302
Practice Telephone 3102792761
Practice Fax Number 8184564618
Mailing Telephone 3102792761
Mailing Fax Number 8184564618
Enumeration Date 2017-08-22
Last Update Date 2017-08-22
Authorized Official Name MRS. NATALYA BEKETOVA (CEO)
Authorized Official Telephone 3102792761
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
Y 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians

Office Location

Street Address 26213 VEVA WAY
City CALABASAS
State CA
Zip Code 91302

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Taxonomy Information

Taxonomy Code 2085U0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Ultrasound

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.]

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1548816531 Bg Dx Inc Radiology 1750 N Beverly Glen Blvd, Los Angeles, CA 90077-2710 2019-08-14
1649825803 Mia C Verbonitz Radiology 29450 Wooden Boat Dr, Menifee, CA 92585-9067 2019-08-05
1437702388 Epic Mobil Ultrasound Imaging Inc Radiology 15417 Hart St, Van Nuys, CA 91406-5240 2019-07-19
1437618147 Adventist Health Physicians Network Radiology 5125 Skyway Ste E, Paradise, CA 95969-5624 2019-03-13
1851870927 Bahjat Helmi Alnajjar Radiology 5840 Santa Teresa Blvd, San Jose, CA 95123-4131 2018-08-09
1821589151 Sirius Imaging Inc Radiology 14637 1/2 Titus St # B, Panorama City, CA 91402-4942 2018-05-22
1083102503 Darnell M Nesbitt Radiology 1720 Florida St, Vallejo, CA 94590-5317 2018-04-30
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Competitor

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City CALABASAS
Zip Code 91302

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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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