Eberly Imaging LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EBERLY IMAGING LLC

Practice address

13916 Elmcroft Ave
Norwalk, CA 90650-3710

Phone

(424) 202-2349

NPI assigned

Aug 16, 2023

Organization subpart

Yes

Parent organization

EBERLY IMAGING LLCAs reported in NPPES

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

Authorized official

Name

Christina Gomez-Perez

Title

Administrator

Phone

(661) 361-4333

Specialties & licenses 1

Addresses

Other names 1

• Mobile Lab service Other name

Tax ID family

Eberly Imaging LLC2 organizations share this tax ID, including this one

Part of

Eberly Imaging LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eberly Imaging LLC

  • Radiography Radiologic Technologist
  • Norwalk, CA
  • NPI 1073296158
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eberly Imaging LLC

  • Radiography Radiologic Technologist
  • Norwalk, CA
  • NPI 1073296158
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eber Sanchez Zelaya

  • Radiography Radiologic Technologist
  • Long Beach, CA
  • NPI 1073213559
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1487437091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503710",
            "telephone_number": "424-202-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503710",
            "telephone_number": "424-202-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERLY IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EBERLY IMAGING LLC",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-PEREZ",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-361-4333"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Lab service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tonja Duvardo, PSYCHOLOGIST
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• E.P. Delfin, Jr., M.D.
• Easy Choice Home Health, Inc.
• Eberly Imaging LLC
• Robelyn Echano
• Catelyn E Eddards
• Domonique Edwards
• Virginia Edith Edwards, BCBA
• Ej Guzman, MD Inc

• Clinical Medical Laboratory in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.