Provider Demographics
NPI:1053555128
Name:WESTWOOD DIAGNOSTICS
Entity type:Organization
Organization Name:WESTWOOD DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-9000
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:713-995-9000
Mailing Address - Fax:
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:713-995-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory