Provider Demographics
NPI:1053565051
Name:MEDX INC
Entity type:Organization
Organization Name:MEDX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUTUYN
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:FSTKCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-644-0050
Mailing Address - Street 1:3111 LOS FELIZ BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1599
Mailing Address - Country:US
Mailing Address - Phone:323-644-0050
Mailing Address - Fax:323-664-4385
Practice Address - Street 1:3111 LOS FELIZ BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1599
Practice Address - Country:US
Practice Address - Phone:323-644-0050
Practice Address - Fax:323-664-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)