Organization
PREMIER IMAGING MANAGEMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORLOV (OWNER)
(818) 766-7736
Entity
Organization
Contact information
Practice address
11490 BURBANK BLVD, SUITE 3F, NORTH HOLLYWOOD, CA 91601-2389
(818) 766-7736
Mailing address
PO BOX 93696, LOS ANGELES, CA 90093-0696
(818) 766-7736
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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