Organization
DIRECT IMAGING & DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIA BATULINA (CEO)
(323) 450-9531
Entity
Organization
Contact information
Practice address
1607 N EL CENTRO AVE STE 22, LOS ANGELES, CA 90028-6430
(323) 450-9531
Mailing address
1607 N EL CENTRO AVE STE 22, LOS ANGELES, CA 90028-6430
(323) 450-9531
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607
CEO/ OWNER
CA
Enumeration date
11/15/2020
Last updated
11/15/2020
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