Provider Demographics
NPI:1083188767
Name:MABEL IMAGING INC
Entity Type:Organization
Organization Name:MABEL IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETROS
Authorized Official - Middle Name:
Authorized Official - Last Name:PATATANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-861-7559
Mailing Address - Street 1:356 E OLIVE AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:356 E OLIVE AVE STE 111
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1260
Practice Address - Country:US
Practice Address - Phone:818-861-7559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier