Organization Active NPI

Mobile Mammography Screening Inc

  • Mobile Mammography Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1457654279
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
License
223386 Issued in CA
Legal business name
MOBILE MAMMOGRAPHY SCREENING INC
Practice address
15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513
Phone
(818) 528-6466
Fax
(818) 528-3464
NPI assigned
Dec 16, 2010
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Lawrence H Resnick, M.D.NPI 1942269469
Title
Partner
Phone
(310) 829-2931

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 Mammography Clinic/Center 261QR0207X 223386 CA Primary

Addresses

Primary practice location

15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513

Mailing address

15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513
Phone (818) 528-6466

National Provider Directory

National Provider Directory

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1457654279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST",
            "address_2": "SUITE 304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031513",
            "telephone_number": "818-528-6466",
            "fax_number": "818-528-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST",
            "address_2": "SUITE 304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031513",
            "telephone_number": "818-528-6466",
            "fax_number": "818-528-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MAMMOGRAPHY SCREENING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-829-2931",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "CA",
            "license": "223386",
            "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 Dec 30, 2014; 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.