# PRO-LIFE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003503137
- **Authorized official:** GRISELDA M LOUGEDO CRT (CEO)
- **Authorized official phone:** (661) 713-8720

## Contact information

- **Practice address:** 3411 JOHNSTON AVE, REDONDO BEACH, CA 90278-1522
- **Practice address phone:** (661) 713-8720
- **Practice address fax:** (855) 940-1565
- **Mailing address:** 5450 N PARAMOUNT BLVD, UNIT 133, LONG BEACH, CA 90805
- **Mailing address phone:** (661) 713-8720
- **Mailing address fax:** (855) 940-1565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0207X | Mobile Mammography Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2023
- **Last updated:** 04/19/2023