Organization · NPI-2

Fairfax Mri Center

Radiologic Technologist, Magnetic Resonance Imaging · Los Angeles, CA

NPI number1861429102
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1861429102
Entity type
Organization (NPI-2)
Legal business name
Fairfax Mri Center
Organization subpart
No
Enumeration date
Jun 26, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging177510-86CAYes

Other names

  • Universal Mri (Doing Business As)

Practice location

5757 Wilshire Blvd Ste 100
Los Angeles, CA 90036-3686

Phone 323-648-0500 · Fax 323-648-0508

Mailing address

5757 Wilshire Blvd Ste 100
Los Angeles, CA 90036-3686

Phone 323-648-0500 · Fax 323-648-0508

Authorized official

Mike Rajaee
Vice President
3236480500

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