MOLECULAR IMAGING CHICAGO LLC (NPI# 1053798751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053798751 |
| Entity Type | Organization |
| Organization Name | MOLECULAR IMAGING CHICAGO LLC |
| Other Organization Name | NATIONAL IMAGING |
| Practice Address |
14315 108th Ave Suite 122 Orland Park IL 60467-1006 |
| Mailing Address |
1 Trans Am Plaza Drive Suite 16 Oakbrook Terrace IL 60181-4364 |
| Practice Telephone | 7084281910 |
| Practice Fax Number | 6302428450 |
| Mailing Telephone | 6308272502 |
| Mailing Fax Number | 6302428450 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | RAJEEV BATRA (MANAGER) |
| Authorized Official Telephone | 6302582384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| NATIONAL IMAGING | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138920 | Molecular Imaging Chicago LLC | Clinic/Center | 230 E Ogden Ave Ste 100, Hinsdale, IL 60521-2460 | 2011-05-16 |
| 1457738155 | Molecular Imaging Chicago LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4932 W 95th St, Oak Lawn, IL 60453-2504 | 2015-05-01 |
| 1669881686 | Molecular Imaging Chicago LLC | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2014-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MOLECULAR IMAGING CHICAGO LLC | 3 Grant Sq #322, Hinsdale, Illinois 60521 |
| Street Address |
14315 108TH AVE SUITE 122 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376869 | Evaldas Radzevicius | Psychologist | 14315 108th Ave, Ste 215, Orland Park, IL 60467-5701 | 2005-09-14 |
| 1538773627 | Rci (wrs), LLC. | Clinic/Center | 14315 108th Ave, Orland Park, IL 60467-5700 | 2020-09-04 |
| 1184265514 | Physiotherapy Associates, Inc. | Physical Therapist | 14315 108th Ave, Orland Park, IL 60467-5700 | 2019-10-07 |
| 1114327459 | John F Olivieri Md Sc | Family Medicine | 14315 108th Ave, Suite 230, Orland Park, IL 60467-5700 | 2014-08-22 |
| 1376959312 | National Imaging LLC | Clinic/Center | 14315 108th Ave, Suite 122, Orland Park, IL 60467-5700 | 2014-07-10 |
| 1871906842 | Jennifer Waterman | Social Worker | 14315 108th Ave, Suite 215, Orland Park, IL 60467-5700 | 2014-06-08 |
| 1346661139 | Institute of Neurobehavior Services Sc | Counselor | 14315 108th Ave, Suite 215, Orland Park, IL 60467-5700 | 2013-12-20 |
| 1134560881 | R H Fife and Associates - Bright Futures - R Hall Psyd | Psychologist | 14315 108th Ave, Suite 220a, Orland Park, IL 60467-5700 | 2013-07-10 |
| 1205173051 | Southwest Vision Therapy, P.C. | Clinic/Center | 14315 108th Ave, Suite 110, Orland Park, IL 60467-5700 | 2013-01-14 |
| 1497022008 | Bright Futures Psychological Services | Psychologist | 14315 108th Ave, Suite 220, Orland Park, IL 60467-5700 | 2011-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050849 | Starmed Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 222 E Wisconsin Ave Ste 2b, Lake Forest, IL 60045-1701 | 2020-10-16 |
| 1093313785 | Compuray Staffing | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 121 N Cross St Unit 346, Wheaton, IL 60187-5361 | 2020-10-14 |
| 1366050577 | Apex Portable X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 S. 4th St., Unit C Suite 1, Dekalb, IL 60115-3705 | 2020-07-14 |
| 1821615063 | Xoom Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3916 W Lunt Ave, Lincolnwood, IL 60712-2534 | 2020-07-04 |
| 1164059572 | Northshore Ultrasound Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 215 S Edward St, Mt Prospect, IL 60056-3415 | 2020-03-25 |
| 1689149882 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2044 Madison Ave Ste 28, Granite City, IL 62040-4661 | 2018-10-04 |
| 1487151783 | Advanced Digital Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 109 N Main St Rm D, Toluca, IL 61369-9430 | 2018-04-12 |
| 1699282145 | Medical Imaging Specialist Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9944 S Roberts Rd Ste 106, Palos Hills, IL 60465-1555 | 2018-01-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1386166049 | Diagnostic Vascular Testing, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 94 Sapphire Pt, Morton, IL 61550-3608 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.