Healthcare Provider Details

I. General information

NPI: 1437497831
Provider Name (Legal Business Name): LA MOBILE ULTRASOUND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 12/24/2021
Certification Date: 12/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 E OLIVE AVE STE K
BURBANK CA
91502-1250
US

IV. Provider business mailing address

348 E OLIVE AVE STE K
BURBANK CA
91502-1250
US

V. Phone/Fax

Practice location:
  • Phone: 818-429-0797
  • Fax:
Mailing address:
  • Phone: 818-429-0797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. HRIPSIME CHILIAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 818-429-0797