Organization Active NPI

Mobile MRI Services,Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1538103163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MOBILE MRI SERVICES,INC.
Practice address
6221 Wilshire Blvd
Los Angeles, CA 90048-5222
Phone
(323) 525-0865
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Val Bogomolny
Title
Ceo
Phone
(323) 525-0865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6221 Wilshire Blvd
Los Angeles, CA 90048-5222

Mailing address

6221 Wilshire Blvd.,
Suite #LL1
Los Angeles, CA 90048-5022
Phone (323) 525-0865

National Provider Directory

National Provider Directory

Locations

6221 Wilshire Blvd
Ste LL1
Los Angeles, CA 90048

6221 Wilshire Blvd
Los Angeles, CA 90048
Phone (310) 285-8485

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538103163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD.,",
            "address_2": "SUITE #LL1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485022",
            "telephone_number": "323-525-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485222",
            "telephone_number": "323-525-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MRI SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLNY",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-525-0865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.