# PORTABLE DIAGNOSTIC IMAGING INC

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

## Provider details

- **NPI number:** 1336698257
- **Authorized official:** MIKHAIL MURADYAN RT/AART (RADIOLOGICAL TECHNOLOGIST)
- **Authorized official phone:** (818) 823-6241

## Contact information

- **Practice address:** 3504 WEST MAGNOLIA BLVD, SECOND FLOOR, SUITE A, BURBANK, CA 91505-2911
- **Practice address phone:** (818) 823-6241
- **Mailing address:** 3504 WEST MAGNOLIA BLVD, SECOND FLOOR, SUITE A, BURBANK, CA 91505-5501
- **Mailing address phone:** (818) 823-6241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHF00103590 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 09/18/2020