OrganizationSan Diego Mri Institute, LlcSpecialistOther Service ProvidersPractice Address9655 Granite Ridge Dr, 200, San Diego, CA 92123-2674(858) 924-0807PECOS EnrollmentBased on the most recent information from CMS, provider San Diego Mri Institute, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164764833Provider TypeOrganizationFull NameSan Diego Mri Institute, LlcSubpartNoEnumeration Date3/20/2013Last Updated5/5/2015Contact InformationPractice LocationPractice Address9655 Granite Ridge Dr, 200, San Diego, CA 92123-2674Phone(858) 924-0807FaxUnlisted FaxMailing LocationMailing Address14622 Ventura Blvd, 725, Sherman Oaks, CA 91403-3600Phone(858) 924-0807FaxUnlisted FaxAuthorized OfficialNameSabrkhani, Matt (President)Phone(818) 294-7266Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer