Ba Imaging Group

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BA IMAGING GROUP

Practice address

14622 Ventura Blvd
Suite # 317
Sherman Oaks, CA 91403-3600

Phone

(818) 554-9903

Fax

(818) 345-8746

NPI assigned

May 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gustavo Martinelli

Title

Director

Phone

(818) 554-9903

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1003135674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE # 317",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-554-9903",
            "fax_number": "818-345-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE # 317",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-554-9903",
            "fax_number": "818-345-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA IMAGING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "MARTINELLI",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-554-9903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.