Equilogic Systems, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

RHF 71342 Issued in CA

Legal business name

EQUILOGIC SYSTEMS, INC.

Practice address

12155 Riverside Dr
Valley Village, CA 91607-3832

Phone

(818) 761-5015

Fax

(661) 222-9372

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

G Dawson

Title

Pres/Ceo

Phone

(818) 761-5015

Specialties & licenses 1

Addresses

Other names 1

• Innervisions Medical Doing business as

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1780877910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073832",
            "telephone_number": "818-761-5015",
            "fax_number": "661-222-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073832",
            "telephone_number": "818-761-5015",
            "fax_number": "661-222-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILOGIC SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "G",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "818-761-5015"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "RHF 71342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innervisions Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Radiology Clinic/Center in California

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