Antelope Valley Outpatient Imaging Center, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC

Practice address

44105 15TH St W Ste 100
Lancaster, CA 93534-4090

Phone

(661) 726-6050

Fax

(661) 951-4464

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Mirzabegian

Title

Manager

Phone

(661) 949-5533

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Antelope Valley Hospital District

  • Home Health Agency
  • Lancaster, CA
  • NPI 1487657235

  Member Of

  NPD member

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1871193763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "855-504-4544",
            "fax_number": "805-577-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W STE 100",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344090",
            "telephone_number": "661-726-6050",
            "fax_number": "661-951-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY OUTPATIENT IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "MIRZABEGIAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-949-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Optometric Center, Inc.
• Antelope Valley Oral Surgery, Dental Group of Gregory R. Urfrig, DMD a
• Antelope Valley Orthopaedic& Rehabiliation Specialists
• Antelope Valley Outpatient Imaging Center, LLC
• Antelope Valley Outpatient Imaging Center, LLC
• Antelope Valley Outpatient Pharmacy LLC
• Antelope Valley Partners for Health
• Antelope Valley Physical Therapy, Inc. (Rancho Wellness Center)
• Antelope Valley Primary Care Group
• Antelope Valley Rehabilitation Centers

• Diagnostic Radiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.