Radgistics

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

RADGISTICS

Practice address

11755 Victory Blvd Ste 108
North Hollywood, CA 91606-3461

Phone

(818) 853-7240

Fax

(818) 853-7241

NPI assigned

Apr 28, 2018

Organization subpart

No

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

Authorized official

Name

Raisa Aytayan

Title

Ceo

Phone

(818) 853-7240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1225526981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 108",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063461",
            "telephone_number": "818-853-7240",
            "fax_number": "818-853-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 108",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063461",
            "telephone_number": "818-853-7240",
            "fax_number": "818-853-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "AYTAYAN",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-853-7240"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.