Organization Active NPI

RG Diagnostic, Inc

  • Mobile Radiology Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1710168448
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
RG DIAGNOSTIC, INC
Practice address
6363 Wilshire Blvd
Suite 516
Los Angeles, CA 90048-5701
Phone
(323) 655-9877
Fax
(323) 655-5199
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Alex Gamarnik
Title
President
Phone
(323) 655-9877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

6363 Wilshire Blvd
Suite 516
Los Angeles, CA 90048-5701

Mailing address

6363 Wilshire Blvd
Suite 516
Los Angeles, CA 90048-5701
Phone (323) 655-9877

National Provider Directory

National Provider Directory

Locations

845 Via de la Paz
Ste 13
Pacific Plsds, CA 90272
Phone (310) 310-8370

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1710168448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD",
            "address_2": "SUITE 516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485701",
            "telephone_number": "323-655-9877",
            "fax_number": "323-655-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 WILSHIRE BLVD",
            "address_2": "SUITE 516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485701",
            "telephone_number": "323-655-9877",
            "fax_number": "323-655-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RG DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GAMARNIK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-655-9877"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "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 Nov 21, 2007; 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.