Provider Demographics
NPI:1184017147
Name:ACCESS IMAGING, LLC
Entity Type:Organization
Organization Name:ACCESS IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SATTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-644-0046
Mailing Address - Street 1:350 N GLENDALE AVE
Mailing Address - Street 2:505
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-3794
Mailing Address - Country:US
Mailing Address - Phone:818-337-3550
Mailing Address - Fax:
Practice Address - Street 1:7111 WINNETKA AVE
Practice Address - Street 2:16
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3672
Practice Address - Country:US
Practice Address - Phone:818-337-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)