Organization
MOBILE IMAGING SPECIALIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHWIN C PATEL (PRESIDENT)
(818) 831-2521
Entity
Organization
Contact information
Practice address
12175 STEWARTON DRIVE, NORTHRIDGE, CA 91326
(818) 831-2521
(818) 831-2451
Mailing address
12175 STEWARTON DRIVE, NORTHRIDGE, CA 91326
(818) 831-2521
(818) 831-2451
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ627072
BLUE SHIELD
CA
Enumeration date
04/23/2007
Last updated
01/04/2008
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