Organization Active NPI

Professional Mobile Imaging Inc

  • Mobile Radiology Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1124775093
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PROFESSIONAL MOBILE IMAGING INC
Practice address
72670 Fred Waring Dr Ste C-203
Palm Desert, CA 92260-5011
Phone
(323) 653-6111
Fax
(323) 653-6220
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Anastasia Labutin
Title
Ceo
Phone
(323) 327-6679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

72670 Fred Waring Dr Ste C-203
Palm Desert, CA 92260-5011

Mailing address

3112 Dona Clara PL
Studio City, CA 91604-4308
Phone (323) 327-6679

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1124775093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 DONA CLARA PL",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044308",
            "telephone_number": "323-327-6679",
            "fax_number": "760-678-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72670 FRED WARING DR STE C-203",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605011",
            "telephone_number": "323-653-6111",
            "fax_number": "323-653-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MOBILE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "LABUTIN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-327-6679"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.