Crenshaw Blvd Imaging Center, Inc.
NPI 1215260245ActiveOrganization· Physiological Laboratory· Los Angeles, CA
Physiological Laboratory in Los Angeles, California, registered in NPPES in September 2009. The authorized official on file is Shaun Simpson, Owner.
Overview
| NPI | 1215260245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2009 |
| Last updated in NPPES | Sep 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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