Provider Demographics
NPI:1770821712
Name:PLM DIAGNOSTIC INC
Entity type:Organization
Organization Name:PLM DIAGNOSTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-201-7462
Mailing Address - Street 1:9461 CHARLEVILLE BLVD
Mailing Address - Street 2:SUITE 409
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3017
Mailing Address - Country:US
Mailing Address - Phone:323-201-7462
Mailing Address - Fax:310-218-2134
Practice Address - Street 1:9461 CHARLEVILLE BLVD
Practice Address - Street 2:SUITE 409
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3017
Practice Address - Country:US
Practice Address - Phone:323-201-7462
Practice Address - Fax:310-218-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic