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Antelope Valley Outpatient Imaging Center, LLC

NPI 1871193763ActiveOrganization· Radiology, Diagnostic Radiology· Lancaster, CA

Radiology, Diagnostic Radiology in Lancaster, California, registered in NPPES in October 2020. The authorized official on file is Edward Mirzabegian, Manager. Medicare paid $125,241 for services to 611 patients in 2024.

Overview

NPI1871193763
StatusActive
Entity typeOrganization
NPI issuedOct 29, 2020
Last updated in NPPESOct 29, 2020
Certified by providerOct 23, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients611
Services billed5,337 across 132 procedure codes
Paid by Medicare$125,241

Medicare sources and data years

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