# MOBILE RADIOLOGICAL SERVICES, INC

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

## Provider details

- **NPI number:** 1639102080
- **Authorized official:** SANJIV K. JAIN M.D. (OWNER)
- **Authorized official phone:** (818) 366-4512

## Contact information

- **Practice address:** 420 E 3RD ST, SUITE \#604, LOS ANGELES, CA 90013-1644
- **Practice address phone:** (818) 366-4512
- **Practice address fax:** (818) 360-6319
- **Mailing address:** 11145 TAMPA AVE, SUITE\#14A, NORTHRIDGE, CA 91326-2255
- **Mailing address phone:** (818) 366-4512
- **Mailing address fax:** (818) 360-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHS72368 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020