Provider Demographics
NPI:1255517520
Name:LA MEDICAL IMAGING,LLC
Entity type:Organization
Organization Name:LA MEDICAL IMAGING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECEPTIONEST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-383-0112
Mailing Address - Street 1:3663 W 6TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3047
Mailing Address - Country:US
Mailing Address - Phone:213-383-0112
Mailing Address - Fax:213-383-1059
Practice Address - Street 1:3663 W 6TH ST STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3047
Practice Address - Country:US
Practice Address - Phone:213-383-0112
Practice Address - Fax:213-383-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty