Organization
MIRI PHILLIPS MOBILE IMAGING INC
Active
Other names
MIRI - Phillips Mobile Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D PHILLIPS M.D. (MEDICAL DIRECTOR / CFO)
(213) 999-7770
Entity
Organization
Contact information
Practice address
5042 WILSHIRE BLVD, 505, LOS ANGELES, CA 90036-4305
(213) 999-7770
(866) 505-1544
Mailing address
5042 WILSHIRE BLVD, 505, LOS ANGELES, CA 90036-4305
(213) 999-7770
(866) 505-1544
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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