Organization Active NPI

Mobile Diagnostic Solutions, Inc.

  • Radiology Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1386927366
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MOBILE DIAGNOSTIC SOLUTIONS, INC.
Practice address
15130 Ventura Blvd
303
Sherman Oaks, CA 91403-3301
Phone
(818) 574-6390
Fax
(818) 474-7174
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mr. Troy Lee Lair, PHD
Title
Compliance Officer
Phone
(323) 603-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

15130 Ventura Blvd
303
Sherman Oaks, CA 91403-3301

Mailing address

15130 Ventura Blvd
303
Sherman Oaks, CA 91403-3301
Phone (818) 574-6390

National Provider Directory

National Provider Directory

Locations

15130 Ventura Blvd
Ste 303
Sherman Oaks, CA 91403
Phone (818) 574-6390

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1386927366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD",
            "address_2": "303",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033301",
            "telephone_number": "818-574-6390",
            "fax_number": "818-474-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD",
            "address_2": "303",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033301",
            "telephone_number": "818-574-6390",
            "fax_number": "818-474-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DIAGNOSTIC SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "LAIR",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "323-603-8333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.