VALLEY IMAGING VT, LLC (NPI# 1356522023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356522023 |
| Entity Type | Organization |
| Organization Name | VALLEY IMAGING VT, LLC |
| Practice Address |
99 Boulder Hill Pass Montgomery IL 60538-1911 |
| Mailing Address |
903 Commerce Dr Ste. 333 Oak Brook IL 60523-1969 |
| Practice Telephone | 6308972848 |
| Mailing Telephone | 6309285224 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | SYED AKBAR (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6309784804 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336320001 | Valley Imaging Vt, LLC | Radiology | 407 S 3rd St, Ste 240, Geneva, IL 60134-2741 | 2007-11-21 |
| Street Address |
99 BOULDER HILL PASS |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1427228642 | Prime Care Medical Center Sc | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2008-03-04 |
| 1851428114 | Lisette Tzanetakos Solomon | Internal Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| 1396954541 | William Robert Roggenkamp | Preventive Medicine | 325 Route 31, Montgomery, IL 60538-0348 | 2007-05-22 |
| Find all providers in zip 60538 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1770866444 | Lighthouse Physician Services, Pllc | Radiology | 427 Trace Way Dr, Montgomery, TX 77316-6852 | 2011-09-20 |
| 1174769871 | Telerad of Alabama Account Management | Radiology | 181 Tensaw Rd, Montgomery, AL 36117-4125 | 2008-12-30 |
| 1205808755 | Ross Barnett | Radiology | 7094 University Ct, Montgomery, AL 36117-6992 | 2006-02-07 |
| 1194700450 | Gary Wayne Scott | Radiology | 1825 Park Pl, Montgomery, AL 36106-1149 | 2005-12-09 |
| 1861477127 | Kenneth Joe Richardson | Radiology | 1825 Park Place, Montgomery, AL 36117-3439 | 2005-12-09 |
| 1730173121 | Mary M Karst | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2005-08-31 |
| 1750382883 | Mulberry Diagnostic Imaging | Radiology | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2005-08-10 |
| 1841696622 | Imi Radiology, Pllc | Radiology | 249 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-11-06 |
| 1932535556 | Hoover Radiology, LLC | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2013-09-16 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.