Prime Imaging INC
Physiological Laboratory in Glendale, CA. Organization (NPI-2).
NPI number1669691549
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1669691549
- Entity type
- Organization (NPI-2)
- Legal business name
- Prime Imaging INC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
417 Arden Ave112a
Glendale, CA 91203-4045
Phone 818-662-9700
Mailing address
417 Arden Ave112a
Glendale, CA 91203-4045
Phone 818-662-9700
Authorized official
Karen Setanyan
President
8186629700
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