Mobile Cardiac Imaging

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOBILE CARDIAC IMAGING

Practice address

352 S Clark Dr
Beverly Hills, CA 90211-3608

Phone

(310) 657-4938

Fax

(818) 657-0421

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel Hertzberg

Title

Owner

Phone

(310) 657-4938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1689745358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S CLARK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113608",
            "telephone_number": "310-657-4938",
            "fax_number": "310-657-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S CLARK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113608",
            "telephone_number": "310-657-4938",
            "fax_number": "818-657-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARDIAC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "HERTZBERG",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-657-4938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Beverly Hills, CA
• Providers in Beverly Hills, 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 Jan 30, 2015; 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.