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General NPI Number Information
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NPI Number | 1255517520
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Entity Type | Organization
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Legal Business Name | LA MEDICAL IMAGING,LLC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 3663 W 6TH ST STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90020-3047
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Country | US
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Telephone | 213-383-0112
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Fax | 213-383-1059
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Provider Business Mailing Address
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Address Line | 3663 W 6TH ST STE 105
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City | LOS ANGELES
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State | CA
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Zip | 90020-3047
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Country | US
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Telephone | 213-383-0112
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Fax | 213-383-1059
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Authorized Official
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Title or Position | RECEPTIONEST
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Name | MRS. CAROL CHEON
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Credential |
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Telephone | 213-383-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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