MRI Diagnostic,Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A85846 Issued in CA

Legal business name

MRI DIAGNOSTIC,INC

Practice address

606 E Glenoaks Blvd
100
Glendale, CA 91207-1779

Phone

(818) 265-1330

Fax

(818) 265-1336

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

George N Ellias, MD

Title

Owner

Phone

(818) 265-1330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1467638593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E GLENOAKS BLVD",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071779",
            "telephone_number": "818-265-1330",
            "fax_number": "818-265-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E GLENOAKS BLVD",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071779",
            "telephone_number": "818-265-1330",
            "fax_number": "818-265-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI DIAGNOSTIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "ELLIAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-265-1330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A85846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.