Organization Active NPI

Direct Imaging & Diagnostic Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Los Angeles, CA
National Provider Identifier
1396347209
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
DIRECT IMAGING & DIAGNOSTIC INC
Practice address
1607 N El Centro Ave Ste 22
Los Angeles, CA 90028-6430
Phone
(323) 450-9531
NPI assigned
Nov 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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

Authorized official

Name
Lillia Batulina
Title
Ceo
Phone
(323) 450-9531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

1607 N El Centro Ave Ste 22
Los Angeles, CA 90028-6430

Mailing address

1607 N El Centro Ave Ste 22
Los Angeles, CA 90028-6430
Phone (323) 450-9531

Other identifiers 1

IdentifierTypeStateIssuer
1607OtherCACEO/ OWNER

National Provider Directory

National Provider Directory

Locations

1607 N El Centro Ave
Ste 22
Los Angeles, CA 90028
Phone (323) 450-9531

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1396347209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 N EL CENTRO AVE STE 22",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286430",
            "telephone_number": "323-450-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 N EL CENTRO AVE STE 22",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286430",
            "telephone_number": "323-450-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT IMAGING & DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "BATULINA",
        "authorized_official_first_name": "LILLIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-450-9531"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEO/ OWNER",
            "identifier": "1607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.