# MODERN MOBILE RADIOLOGY INC

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

## Provider details

- **NPI number:** 1467161786
- **Authorized official:** ASATUR DANIELYAN (OWNER)
- **Authorized official phone:** (800) 717-7866

## Contact information

- **Practice address:** 9350 PETIT AVE, NORTHRIDGE, CA 91343-2726
- **Practice address phone:** (800) 717-7866
- **Mailing address:** 9350 PETIT AVE, NORTHRIDGE, CA 91343-2726
- **Mailing address phone:** (800) 717-7866

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/20/2023