Prime Imaging Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PRIME IMAGING INC

Practice address

417 Arden Ave
112A
Glendale, CA 91203-4045

Phone

(818) 662-9700

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Karen Setanyan

Title

President

Phone

(818) 662-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669691549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ARDEN AVE",
            "address_2": "112A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034045",
            "telephone_number": "818-662-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ARDEN AVE",
            "address_2": "112A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034045",
            "telephone_number": "818-662-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SETANYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-662-9700"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Glendale, CA
• Providers in Glendale, CA by specialty
• Physiological Laboratory in California

• 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.