Organization Active NPI

Ingtrust Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1760027346
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
INGTRUST DIAGNOSTICS INC
Practice address
6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645
Phone
(818) 453-8238
Fax
(818) 453-8339
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Inga Amirian
Title
Chief Executive Officer
Phone
(818) 453-8238

Specialties & licenses 1

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

Addresses

Primary practice location

6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645

Mailing address

6360 Van Nuys Blvd Ste 118
Van Nuys, CA 91401-6645
Phone (818) 453-8238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212001479 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8628401296 Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

6360 Van Nuys Blvd
Ste 118
Van Nuys, CA 91401
Phone (818) 453-8238

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1760027346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 118",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016645",
            "telephone_number": "818-453-8238",
            "fax_number": "818-453-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 118",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016645",
            "telephone_number": "818-453-8238",
            "fax_number": "818-453-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGTRUST DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "AMIRIAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-453-8238"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.