Provider Demographics
NPI:1841760931
Name:MOBILE 3D IMAGING, LLC
Entity Type:Organization
Organization Name:MOBILE 3D IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OREST
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANGOPOL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-701-3031
Mailing Address - Street 1:14437 MERIDIAN PKWY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92518-3007
Mailing Address - Country:US
Mailing Address - Phone:800-985-9269
Mailing Address - Fax:
Practice Address - Street 1:14437 MERIDIAN PKWY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92518-3007
Practice Address - Country:US
Practice Address - Phone:800-985-9269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile