# GLENDALE MEDICAL IMAGING ASSOCIATES INC

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

## Provider details

- **NPI number:** 1639349814
- **Authorized official:** JAMES LILLEY M.D. (PRESIDENT/RADIOLOGIST)
- **Authorized official phone:** (818) 247-2095

## Contact information

- **Practice address:** 200 N MARYLAND AVE, SUITE 100, GLENDALE, CA 91206-4262
- **Practice address phone:** (818) 247-2095
- **Practice address fax:** (818) 241-7278
- **Mailing address:** 200 N MARYLAND AVE, SUITE 100, GLENDALE, CA 91206-4262
- **Mailing address phone:** (818) 247-2095
- **Mailing address fax:** (818) 241-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008