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Organization
FOOTHILL IMAGING CENTER, INC
Active
Organization
FOOTHILL IMAGING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDAN NAZARYAN (OWNER)
(800) 768-0552
Entity
Organization
Contact information
Practice address
7148 1/2 FOOTHILL BLVD, TUJUNGA, CA 91042-2781
(800) 768-0552
Mailing address
7148 1/2 FOOTHILL BLVD, TUJUNGA, CA 91042-2781
(800) 768-0552
(800) 688-0550
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
20A3638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A3638
MEDICAL LICENSE
CA
Enumeration date
05/01/2017
Last updated
05/02/2017
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