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IMAGE ONE A MEDICAL CORP
NPI 1093585036
Clinic/Center - Radiology, Mammography in San Diego, CA

Active since January 02, 2024CLIA 05D2319484 · Certificate of Compliance
8707 COMPLEX DRIVE, SAN DIEGO, CA 92123(619) 616-2100(619) 616-2104 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, Jan 2, 2024 (2 updates tracked since 2024).

About Image One A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGE ONE A MEDICAL CORP (NPI 1093585036) is a healthcare organization registered as a radiology, mammography in San Diego, California and active in the NPI registry since January 2024. The organization holds a CLIA Certificate of Compliance certificate valid through February 27, 2027 and lists Mehran Moussavian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093585036
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameIMAGE ONE A MEDICAL CORP
Location Address8707 COMPLEX DRIVESan Diego, CA 92123
Mailing Address8787 Complex Dr Ste 202San Diego, CA 92123-1451 · (760) 798-8855 · Fax (760) 755-5245
Phone(619) 616-2100
Fax(619) 616-2104
Organization SubpartNo
Authorized OfficialMehran MoussavianCeo · (619) 616-2100
Enumeration DateJanuary 2, 2024
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1093585036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
8707 COMPLEX DRIVE, San Diego, CA 92123
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2319484

Image One · San Diego, CA
Active · expires Feb 27, 2027
CLIA Number05D2319484
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorMeena Narayanan
Laboratory Phone(619) 616-2100
Laboratory LocationImage One8707 Complex Dr, San Diego, CA 92123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

What is IMAGE ONE A MEDICAL CORP's NPI number?

The NPI number assigned to this healthcare provider is 1093585036, enumerated as an "organization" on January 02, 2024.

Where is the provider located?

The provider is located at 8707 COMPLEX DRIVE SAN DIEGO, CA 92123 and the phone number is (619) 616-2100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.