MEDI-RAY PORTABLE, INC (NPI# 1326421363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326421363 |
| Entity Type | Organization |
| Organization Name | MEDI-RAY PORTABLE, INC |
| Practice Address |
7132 N Harlem Ave Ste 104 Chicago IL 60631-1086 |
| Practice Telephone | 7735940780 |
| Practice Fax Number | 7739456742 |
| Mailing Telephone | 7735940780 |
| Mailing Fax Number | 7739456742 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | SHIV R KUMAR (PRESIDENT) |
| Authorized Official Telephone | 7735940780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
209859 | IL | Ambulatory Health Care Facilities |
| Street Address |
7132 N HARLEM AVE STE 104 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1720261746 | Medlife Healthcare Inc. | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2007-12-13 |
| 1114117017 | Quality Diagnostic Ultrasound, Corp | Clinic/Center | 4815 W Belle Plaine Ave Apt 209, Chicago, IL 60641-1841 | 2007-07-26 |
| 1306946322 | Universal Portable X-ray Service, Inc. | Clinic/Center | 5630 N Elston Ave, Suite 101, Chicago, IL 60646-6547 | 2006-09-22 |
| 1033166558 | Us Services | Clinic/Center | 6259 W Higgins Ave, Chicago, IL 60630-1846 | 2006-05-29 |
| 1477509966 | H & H Diagnostics, Inc | Clinic/Center | 6348 N Western Ave, Chicago, IL 60659-2010 | 2006-05-26 |
| Find all providers in CHICAGO | ||||
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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.