Organization
PROFESSIONAL MAMMOGRAPHY IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINE GASPARYAN RT (PRESIDENT)
(818) 343-6009
Entity
Organization
Contact information
Practice address
18429 SHERMAN WAY, RESEDA, CA 91335-4358
(818) 343-6009
Mailing address
18429 SHERMAN WAY, RESEDA, CA 91335-4358
(818) 343-6009
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
238079
CA
2471S1302X
Sonography Radiologic Technologist
36356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238079
MAMMOGRAPHY FACILITY
CA
Enumeration date
04/25/2011
Last updated
02/11/2015
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