# MAX MRI IMAGING INC

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

## Provider details

- **NPI number:** 1154409100
- **Authorized official:** MRS. ANNA MARIE RODRIGUEZ (MANAGER)
- **Authorized official phone:** (818) 382-2220

## Contact information

- **Practice address:** 17530 VENTURA BLVD SUITE 105, ENCINO, CA 91316
- **Practice address phone:** (818) 382-2220
- **Practice address fax:** (818) 382-2270
- **Mailing address:** 17530 VENTURA BLVD SUITE 105, ENCINO, CA 91316
- **Mailing address phone:** (818) 382-2220
- **Mailing address fax:** (818) 382-2270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | A33257 | CA | — |
| 261QR0200X | Radiology Clinic/Center | G18577 | CA | — |
| 261QR0200X | Radiology Clinic/Center | G29061 | CA | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/08/2015