# MIRI PHILLIPS MOBILE IMAGING INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MIRI - Phillips Mobile Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639504244
- **Authorized official:** DR. MICHAEL D PHILLIPS M.D. (MEDICAL DIRECTOR / CFO)
- **Authorized official phone:** (213) 999-7770

## Contact information

- **Practice address:** 5042 WILSHIRE BLVD, 505, LOS ANGELES, CA 90036-4305
- **Practice address phone:** (213) 999-7770
- **Practice address fax:** (866) 505-1544
- **Mailing address:** 5042 WILSHIRE BLVD, 505, LOS ANGELES, CA 90036-4305
- **Mailing address phone:** (213) 999-7770
- **Mailing address fax:** (866) 505-1544

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 09/13/2013