NPI 1003135674

Ba Imaging Group

Organisation Physiological Laboratory Sherman Oaks, CA

Practice location

Address: 14622 Ventura Blvd Suite # 317, Sherman Oaks, CA 91403-3600
Phone: (818) 554-9903
Fax: (818) 345-8746

Authorised official

Name: Gustavo Martinelli
Title: Director
Phone: (818) 554-9903

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1003135674
Entity type: Organization
NPI issued: 21 May 2010
Record last updated: 21 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.