PRO-LIFE IMAGING LLC; NPI #1003503137

Contact Information

PRO-LIFE IMAGING LLC

3411 JOHNSTON AVE
REDONDO BEACH, CA 90278-1522

Phone: 661-713-8720
Fax: 855-940-1565
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology, Mobile Mammography	261QR0207X	45	Mammography Center

Indicates primary specialty

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NPI Profile & details for PRO-LIFE IMAGING LLC

NPI Number	`1003503137`
LBN Legal business name	PRO-LIFE IMAGING LLC
Authorized official	GRISELDA LOUGEDO - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/19/2023
Last updated	04/19/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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