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General NPI Number Information
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NPI Number | 1538103163
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Entity Type | Organization
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Legal Business Name | MOBILE MRI SERVICES,INC.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6221 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-5222
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Country | US
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Telephone | 323-525-0865
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Fax |
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Provider Business Mailing Address
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Address Line | 6221 WILSHIRE BLVD., SUITE #LL1
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City | LOS ANGELES
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State | CA
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Zip | 90048-5022
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Country | US
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Telephone | 323-525-0865
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. VAL BOGOMOLNY
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Credential |
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Telephone | 323-525-0865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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