Miri Phillips Mobile Imaging Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MIRI PHILLIPS MOBILE IMAGING INC

Practice address

5042 Wilshire Blvd
505
Los Angeles, CA 90036-4305

Phone

(213) 999-7770

Fax

(866) 505-1544

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Phillips, M.D.

Title

Medical Director / Cfo

Phone

(213) 999-7770

Specialties & licenses 1

Addresses

Other names 1

• MIRI - Phillips Mobile Imaging Doing business as

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1639504244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD",
            "address_2": "505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "213-999-7770",
            "fax_number": "866-505-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD",
            "address_2": "505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "213-999-7770",
            "fax_number": "866-505-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRI PHILLIPS MOBILE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / CFO",
        "authorized_official_telephone_number": "213-999-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRI - Phillips Mobile Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Miremadi, M.S., C.N.S.
• Victoria Mirembe
• Sholeh Mireshghi
• Pegah Mirhosseini
• Sadaf Mirhosseini, M.D.
• Miriam Buenaventura Dental Corporation
• Miriam Romero DMD Inc
• Alexander Miric, MD
• Neeki Mirkhani, PHARMD
• Abigail Elana Mirkin, MPAP, PA-C

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.