MOLECULAR IMAGING CHICAGO LLC (NPI# 1457738155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457738155 |
| Entity Type | Organization |
| Organization Name | MOLECULAR IMAGING CHICAGO LLC |
| Other Organization Name | NATIONAL IMAGING |
| Practice Address |
4932 W 95th St Oak Lawn IL 60453-2504 |
| Mailing Address |
1 Trans Am Plaza Drive Suite 16 Oakbrook Terrace IL 60181-4364 |
| Practice Telephone | 7084999700 |
| 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 |
| 1053798751 | Molecular Imaging Chicago LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14315 108th Ave, Suite 122, Orland Park, IL 60467-1006 | 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 |
4932 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790870699 | Lakeshore P.e.t Imaging, LLC. | Clinic/Center | 4932 W 95th St, Oak Lawn, IL 60453-2504 | 2006-10-04 |
| 1124672654 | Samuel George Tambeaux | Dietitian, Registered | 4932 W 95th St, Oak Lawn, IL 60453 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| 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 | ||||
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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.