Organization
MOBILE DIAGNOSTIC SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY LEE LAIR PHD (COMPLIANCE OFFICER)
(323) 603-8333
Entity
Organization
Contact information
Practice address
15130 VENTURA BLVD, 303, SHERMAN OAKS, CA 91403-3301
(818) 574-6390
(818) 474-7174
Mailing address
15130 VENTURA BLVD, 303, SHERMAN OAKS, CA 91403-3301
(818) 574-6390
(818) 474-7174
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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