Medical Diagnosis Portable X-Ray & Ekg Services Inc. MDX

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MEDICAL DIAGNOSIS PORTABLE X-RAY & EKG SERVICES INC. MDX

Practice address

5627 Sepulveda Blvd
Van Nuys, CA 91411-2920

Phone

(818) 281-4000

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Bialik Vahdat Benjamin, CRT

Title

President

Phone

(818) 281-4000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MDX Medical Diagnosis Portable X-Ray Doing business as

Locations

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1609868488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 MAMMOTH AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234323",
            "telephone_number": "818-281-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 SEPULVEDA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112920",
            "telephone_number": "818-281-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSIS PORTABLE X-RAY & EKG SERVICES INC. MDX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "BIALIK",
        "authorized_official_middle_name": "VAHDAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-281-4000",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE(ULTRASOUND)",
            "identifier": "TG092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBARAILROAD MED",
            "identifier": "630000095",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XRO59933F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDX Medical Diagnosis Portable X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mobile Radiology Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.