Hollywood Diagnostic Service
NPI 1760475040ActiveOrganization· Physiological Laboratory· Los Angeles, CA
Physiological Laboratory in Los Angeles, California, registered in NPPES in August 2005. The authorized official on file is Vladimir Lifshits, Administrator. Medicare paid $250,800 for services to 530 patients in 2024.
Overview
| NPI | 1760475040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2005 |
| Last updated in NPPES | Jun 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 530 |
|---|---|
| Services billed | 2,110 across 18 procedure codes |
| Paid by Medicare | $250,800 |
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