MEDICARE: PROFESSIONAL IMAGING NETWORK CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1649718172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL IMAGING NETWORK CO

Provider Business Mailing Address
First Line	:	6363 WILSHIRE BLVD STE 320
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5728
Country	:	US
Telephone Number	:	323-653-6062
Fax Number	:	323-653-6220

Provider Business Practice Location Address
First Line	:	6363 WILSHIRE BLVD STE 320
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5728
Country	:	US
Telephone Number	:	323-653-6062
Fax Number	:	323-653-6220

Authorized Official
Title or Position	:	ADMIN
Name	:	ANASTASIA LABUTIN
Credential	:
Telephone Number	:	323-653-6062

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/03/2017

Similar Medicare Providers

1437556651 — KARIN KAMARA
Practice Location Address:

1922 MIDVALE AVE
LOS ANGELES, CA
90025-5728

Practice Phone: 626-395-7100
Practice Fax:

1760055016 — FRANCIS XAVIER ESPINA OTR/L
Practice Location Address:

1802 N WILTON PL APT 4
LOS ANGELES, CA
90028-5728

Practice Phone: 310-847-9131
Practice Fax:

1336939206 — ISIOMA CHIMA
Practice Location Address:

5728 S RIMPAU BLVD
LOS ANGELES, CA
90043-2228

Practice Phone: 323-391-4756
Practice Fax:

1285783639 — ADVANCED DIAGNOSTIC & MANAGEMENT
Practice Location Address:

6210 WILSHIRE BLVD STE 205
LOS ANGELES, CA
90048-5124

Practice Phone: 310-770-9528
Practice Fax:

1710168448 — RG DIAGNOSTIC, INC
Practice Location Address:

6363 WILSHIRE BLVD , SUITE 516
LOS ANGELES, CA
90048-5701

Practice Phone: 323-655-9877
Practice Fax: 323-655-5199

1063362283 — BONAFIDE WELLNESS, INC.
Practice Location Address:

6330 SAN VICENTE BLVD STE 245
LOS ANGELES, CA
90048-5425

Practice Phone: 424-600-5010
Practice Fax:

Directions to “PROFESSIONAL IMAGING NETWORK CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.