Organization
MRI IMAGING INSTITUTE
Active
Other names
GLENDALE MRI MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M LILLEY M.D. (MANAGING PARTNER)
(818) 241-3369
Entity
Organization
Contact information
Practice address
624 S CENTRAL AVE, GLENDALE, CA 91204-2009
(818) 241-3369
(818) 242-0640
Mailing address
624 S. CENTRAL AVE., GLENDALE, CA 91204-2009
(818) 241-3369
(818) 242-0640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0045650
—
CA
Enumeration date
07/28/2006
Last updated
05/18/2015
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