Provider Demographics
NPI:1255899209
Name:NONINVASIVE MEDICAL IMAGING INCORPORATED
Entity type:Organization
Organization Name:NONINVASIVE MEDICAL IMAGING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-341-1883
Mailing Address - Street 1:PO BOX 261278
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91426-1278
Mailing Address - Country:US
Mailing Address - Phone:818-718-1600
Mailing Address - Fax:
Practice Address - Street 1:7640 TAMPA AVE STE 101
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-1713
Practice Address - Country:US
Practice Address - Phone:818-718-1600
Practice Address - Fax:818-343-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty