Organization Active NPI

HD Diagnostic Imaging, Inc.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Los Angeles, CA
National Provider Identifier
1942845607
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
HD DIAGNOSTIC IMAGING, INC.
Practice address
4740 Los Feliz Blvd
Los Angeles, CA 90027-1918
Phone
(323) 806-6670
NPI assigned
Nov 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Authorized official

Name
Gregory Barsom, RVTNPI 1477198125
Title
Director of Operations
Phone
(323) 806-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918

Mailing address

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918
Phone (323) 806-6670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120001436 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2466866157 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573862400000",
    "number": "1942845607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 LOS FELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271918",
            "telephone_number": "323-806-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 LOS FELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271918",
            "telephone_number": "323-806-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD DIAGNOSTIC IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-11-16",
        "status": "A",
        "authorized_official_last_name": "BARSOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "323-806-6670",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "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 16, 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.