Healthcare Provider Details

I. General information

NPI: 1851195416
Provider Name (Legal Business Name): LMI DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11755 VICTORY BLVD STE 106
NORTH HOLLYWOOD CA
91606-3451
US

IV. Provider business mailing address

11755 VICTORY BLVD STE 106
NORTH HOLLYWOOD CA
91606-3451
US

V. Phone/Fax

Practice location:
  • Phone: 818-821-1300
  • Fax: 818-821-1301
Mailing address:
  • Phone: 818-821-1300
  • Fax: 818-821-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: IRYNA LOBOTSKA
Title or Position: PRESIDENT
Credential:
Phone: 818-821-1300