MEDICARE: UNIVERSAL MRI & CT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist

General Provider Information

NPI Number	:	1316105372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MRI & CT INC

Provider Business Mailing Address
First Line	:	5757 WILSHIRE BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3686
Country	:	US
Telephone Number	:	310-407-5440
Fax Number	:	310-407-5441

Provider Business Practice Location Address
First Line	:	5757 WILSHIRE BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3686
Country	:	US
Telephone Number	:	310-407-5440
Fax Number	:	310-407-5441

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SAMMY CILING
Credential	:
Telephone Number	:	323-648-0500

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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