Provider Demographics
NPI:1790124253
Name:IMAGING MOBILE SYSTEMS LLC
Entity Type:Organization
Organization Name:IMAGING MOBILE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIGNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-294-0403
Mailing Address - Street 1:1101 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-2312
Mailing Address - Country:US
Mailing Address - Phone:504-333-6258
Mailing Address - Fax:504-333-6268
Practice Address - Street 1:1101 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-2312
Practice Address - Country:US
Practice Address - Phone:504-333-6258
Practice Address - Fax:504-333-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty