Organization
RADGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA AYTAYAN (CEO)
(818) 853-7240
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD STE 108, NORTH HOLLYWOOD, CA 91606-3461
(818) 853-7240
(818) 853-7241
Mailing address
11755 VICTORY BLVD STE 108, NORTH HOLLYWOOD, CA 91606-3461
(818) 853-7240
(818) 853-7241
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2018
Last updated
05/09/2018
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