Organization
MEDICAL DIAGNOSIS PORTABLE X-RAY & EKG SERVICES INC. MDX
Active
Other names
MDX Medical Diagnosis Portable X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
BIALIK VAHDAT BENJAMIN CRT (PRESIDENT)
(818) 281-4000
Entity
Organization
Contact information
Practice address
5627 SEPULVEDA BLVD, VAN NUYS, CA 91411-2920
(818) 281-4000
Mailing address
4139 MAMMOTH AVE, SHERMAN OAKS, CA 91423-4323
(818) 281-4000
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630000095
PALMETTO GBARAILROAD MED
—
01
—
TG092
MEDICARE(ULTRASOUND)
—
05
—
XRO59933F
—
CA
Enumeration date
08/18/2005
Last updated
05/20/2022
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