PORTABLE DIAGNOSTIC IMAGING INC (NPI# 1336698257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336698257 |
| Entity Type | Organization |
| Organization Name | PORTABLE DIAGNOSTIC IMAGING INC |
| Practice Address |
3504 West Magnolia Blvd Second Floor, Suite A Burbank CA 91505-2911 |
| Mailing Address |
3504 West Magnolia Blvd Second Floor, Suite A Burbank CA 91505-5501 |
| Practice Telephone | 8188236241 |
| Mailing Telephone | 8188236241 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | MIKHAIL MURADYAN (RADIOLOGICAL TECHNOLOGIST) |
| Authorized Official Telephone | 8188236241 |
| Authorized Official Credential | RT/AART |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHF00103590 | CA | Suppliers |
| Street Address |
3504 WEST MAGNOLIA BLVD SECOND FLOOR, SUITE A |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
| 1437497831 | La Mobile Ultrasound | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 348 E Olive Ave Ste K, Burbank, CA 91502-1250 | 2013-01-21 |
| 1487185625 | Medical Pro Health Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2501 W Burbank Blvd, 300, Burbank, CA 91505-2347 | 2017-03-21 |
| 1770958654 | Satenik Avetisyan | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 640 N Keystone St, B, Burbank, CA 91506-1900 | 2015-12-03 |
| 1083011951 | Arshak Akopyan | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 640 N Keystone St, Ste B, Burbank, CA 91506-1900 | 2014-11-20 |
| 1316109267 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2820 N Ontario St, Burbank, CA 91504-2015 | 2008-07-01 |
| 1225290174 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2820 N Ontario St, Burbank, CA 91504-2015 | 2008-07-01 |
| 1730118910 | Biopath Rad Holdings LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2820 N Ontario St, Burbank, CA 91504-2015 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696497 | Iscan Medical Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 21822 Sherman Way Ste 201, Canoga Park, CA 91303-1938 | 2020-07-08 |
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1790314151 | Jem Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 359 Churchill Pl, Gilroy, CA 95020-6738 | 2020-04-07 |
| 1427695352 | Quality Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 | 2019-12-10 |
| 1851940431 | X-ray Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 | 2019-09-06 |
| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1700355013 | Socal Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2018-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.