Organization
PORTABLE DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL MURADYAN RT/AART (RADIOLOGICAL TECHNOLOGIST)
(818) 823-6241
Entity
Organization
Contact information
Practice address
3504 WEST MAGNOLIA BLVD, SECOND FLOOR, SUITE A, BURBANK, CA 91505-2911
(818) 823-6241
Mailing address
3504 WEST MAGNOLIA BLVD, SECOND FLOOR, SUITE A, BURBANK, CA 91505-5501
(818) 823-6241
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHF00103590
CA
Other
Enumeration date
10/04/2016
Last updated
09/18/2020
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