Organization Active NPI

United Medical Services

  • Mobile Radiology Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1235930918
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
UNITED MEDICAL SERVICES
Practice address
611 S Catalina St # 314
Los Angeles, CA 90005-1703
Phone
(310) 279-6973
NPI assigned
Mar 20, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Denis SoldatenkoNPI 1336487305
Title
President
Phone
(310) 279-6973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

611 S Catalina St # 314
Los Angeles, CA 90005-1703

Mailing address

611 S Catalina St # 314
Los Angeles, CA 90005-1703
Phone (310) 279-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523002223 CA Part B Supplier - Portable X-Ray Supplier 7911426770 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235930918. Details of each certification follow.

Portable X-ray supplier certification: CCN 05X0010083

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNITED MEDICAL SERVICES
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Jun 30, 2025
Last certification
Jun 27, 2025
Ownership / control type
Corporation
Facility address
611 South Catalina Street #314
Los Angeles, CA 90005

National Provider Directory

National Provider Directory

Locations

611 S Catalina St
#314
Los Angeles, CA 90005
Phone (310) 279-6973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1235930918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CATALINA ST # 314",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051703",
            "telephone_number": "310-279-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CATALINA ST # 314",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051703",
            "telephone_number": "310-279-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SOLDATENKO",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-279-6973"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.