Ara Mnatsakanian Am Imaging Network

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ARA MNATSAKANIAN AM IMAGING NETWORK

Practice address

655 N Central Ave
1700
Glendale, CA 91203-1422

Phone

(818) 649-7661

Fax

(818) 649-7663

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Ara Mnatsakanian

Title

Ceo

Phone

(818) 800-5577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1083150593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE",
            "address_2": "1700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031422",
            "telephone_number": "818-649-7661",
            "fax_number": "818-649-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N CENTRAL AVE",
            "address_2": "1700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031422",
            "telephone_number": "818-649-7661",
            "fax_number": "818-649-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA MNATSAKANIAN AM IMAGING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-5577"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Glendale, CA
• Providers in Glendale, 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 7, 2021; 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.