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General NPI Number Information
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NPI Number | 1467696211
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Entity Type | Organization
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Legal Business Name | SYNDICATED DIAGNOSTIC IMAGING, INC.
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 424 W BROADWAY 100
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City | GLENDALE
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State | CA
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Zip | 91204-1209
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Country | US
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Telephone | 818-502-0593
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Fax | 818-502-1061
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Provider Business Mailing Address
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Address Line | PO BOX 250370
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City | GLENDALE
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State | CA
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Zip | 91225-0370
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Country | US
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Telephone | 818-291-0547
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Fax | 877-711-1421
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Authorized Official
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Title or Position | CEO
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Name | MR. KHACHATUR POGOSYAN
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Credential |
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Telephone | 323-336-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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