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Organization
MOBILE RADIOLOGICAL SERVICES, INC
Active
Organization
MOBILE RADIOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV K. JAIN M.D. (PRESIDENT)
(818) 366-0474
Entity
Organization
Contact information
Practice address
11177 TAMPA AVE., SUITE B, NORTHRIDGE, CA 91326-2254
(818) 366-0474
(818) 474-7530
Mailing address
P.O. BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
247200000X
Other Technician
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/30/2006
Last updated
03/30/2012
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