Organization
ST JOHNS REGIONAL IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR VP & CHIEF ACCOUNTING OFFICR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE, MOBILE UNIT, OXNARD, CA 93030-3790
(805) 983-0883
(805) 983-1029
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/10/2008
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