Provider Demographics
NPI:1821589151
Name:SIRIUS IMAGING INC
Entity Type:Organization
Organization Name:SIRIUS IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GHARIBJANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-510-0977
Mailing Address - Street 1:14637 1/2 TITUS ST # B
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4942
Mailing Address - Country:US
Mailing Address - Phone:818-510-0977
Mailing Address - Fax:818-510-0979
Practice Address - Street 1:14637 1/2 TITUS ST # B
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4942
Practice Address - Country:US
Practice Address - Phone:818-510-0977
Practice Address - Fax:818-510-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty