Mid-Valley Imaging, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MID-VALLEY IMAGING, LLC

Practice address

6303 Owensmouth Avenue, FL 10
Los Angeles, CA 91367-2263

Phone

(818) 306-5597

Fax

(800) 900-4118

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Matt Sabrkhani

Title

President

Phone

(818) 294-7266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1396087060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD.",
            "address_2": "#725",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-306-5597",
            "fax_number": "866-415-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVENUE, FL 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "913672263",
            "telephone_number": "818-306-5597",
            "fax_number": "800-900-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "SABRKHANI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-294-7266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.