Organization
INGLEWOOD IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY SCHMIDT (CEO)
(310) 672-9729
Entity
Organization
Contact information
Practice address
211 N PRAIRIE AVE, SUITE E, INGLEWOOD, CA 90301-1412
(310) 672-9729
(310) 672-9720
Mailing address
211 N PRAIRIE AVE, SUITE E, INGLEWOOD, CA 90301-1412
(310) 672-9729
(310) 672-9720
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00760
—
CA
Enumeration date
08/12/2006
Last updated
01/29/2008
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