Athletic Imaging, Inc.

LBN: Athletic Imaging, Inc.
Athletic Imaging, Inc. is an health care organization with primary practice located at 492 E Channel Rd , Santa Monica CA 90402-1339. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Athletic Imaging, Inc. can be contacted via phone (310) 740-6544, or through Thierry, Andrew Paul via phone (310) 740-6544.

Contact Information

Primary practice address
492 E Channel Rd Santa Monica CA 90402-1339
Phone: (310) 740-6544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thierry, Andrew Paul Doctor of Medicine (MD)
Phone: (310) 740-6544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780172106
LBN Legal business name Athletic Imaging, Inc.
DBA Doing business as
Authorized official Thierry, Andrew Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780172106 NPPES
California Other A112782 MEDICAL LICENSE NUMBER

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