Active NPI
Inglewood Imaging Center LLC
- Radiology Clinic/Center
- Inglewood, CA
National Provider Identifier
1407868417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- INGLEWOOD IMAGING CENTER LLC
- Practice address
- 211 N Prairie Ave
Suite E
Inglewood, CA 90301-1412 - Phone
- (310) 672-9729
- Fax
- (310) 672-9720
- NPI assigned
- Aug 12, 2006
- Last updated
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley Schmidt
- Title
- Ceo
- Phone
- (310) 672-9729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
211 N Prairie Ave
Suite E
Inglewood, CA 90301-1412
Mailing address
211 N Prairie Ave
Suite E
Inglewood, CA 90301-1412
Phone (310) 672-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IDTF00760 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1407868417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N PRAIRIE AVE",
"address_2": "SUITE E",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011412",
"telephone_number": "310-672-9729",
"fax_number": "310-672-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N PRAIRIE AVE",
"address_2": "SUITE E",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011412",
"telephone_number": "310-672-9729",
"fax_number": "310-672-9720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INGLEWOOD IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-672-9729",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IDTF00760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
- Satoshi Ikeda, PA
- Im Possible Youth Foundation
- Imperial Dental Center Corp.
- Infocybe Technologies, LLC
- Inglewood Family Medical Clinic Corp (Inglewood Family Medical Clinic)
- Inglewood Operating Company LP (Inglewood Healthcare Center)
- Inglewood Physical Therapy Inc.
- Inglewood Post Acute Care LLC
- Inglewood Unified School District
- Inglewood Urgent Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.