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NPI Code Detail

MEDICARE: VISITDX MOBILE DIAGNOSTICS INCORPORATED

MEDICARE: VISITDX MOBILE DIAGNOSTICS INCORPORATED
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
12085R0202XDiagnostic Radiology Physician
2261Q00000XClinic/Center
3261QR0208XMobile Radiology Clinic/Center
4347D00000XTrain
5291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1720935562
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITDX MOBILE DIAGNOSTICS INCORPORATED
Provider Business Mailing Address
First Line : 28310 ROADSIDE DR STE 216
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-4942
Country : US
Telephone Number : 747-977-0570
Fax Number : 747-240-5780
Provider Business Practice Location Address
First Line : 28310 ROADSIDE DR STE 216
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-4942
Country : US
Telephone Number : 747-977-0570
Fax Number : 747-240-5780
Authorized Official
Title or Position : CEO
Name : RAFFI AMIRYAN
Credential :
Telephone Number : 818-237-6783
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

Similar Medicare Providers

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Practice Location Address:
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1033066345 — MONIQUE JACQUELINE BLANCHARD
Practice Location Address:
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Practice Phone: 310-570-5027
Practice Fax:
1750493912 — FEDRA HASSANPOUR LMFT
Practice Location Address:
5012 CHESEBRO RD STE 200
AGOURA HILLS, CA
91301-2287
Practice Phone: 925-282-1778
Practice Fax:
1699350405 — PALOMA MORAN PSYD, LP
Practice Location Address:
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AGOURA HILLS, CA
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Practice Fax:
1093661415 — MARLA LOUISE FISHER DOULA
Practice Location Address:
5846 STONECREST DR
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91301-4625
Practice Phone: 818-648-6401
Practice Fax:

Directions to “VISITDX MOBILE DIAGNOSTICS INCORPORATED ” 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.