Provider Demographics
NPI:1437497831
Name:LA MOBILE ULTRASOUND, INC
Entity Type:Organization
Organization Name:LA MOBILE ULTRASOUND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-429-0797
Mailing Address - Street 1:348 E OLIVE AVE STE K
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1250
Mailing Address - Country:US
Mailing Address - Phone:818-429-0797
Mailing Address - Fax:
Practice Address - Street 1:348 E OLIVE AVE STE K
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1250
Practice Address - Country:US
Practice Address - Phone:818-429-0797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-21
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging SupplierGroup - Single Specialty