LAKESIDE MEDICAL IMAGING LLC (NPI# 1609119585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609119585 |
Entity Type | Organization |
Organization Name | LAKESIDE MEDICAL IMAGING LLC |
Practice Address |
1154 N Main St Algonquin IL 60102-3482 |
Mailing Address |
Po Box 674351 Dallas TX 75267-4351 |
Practice Telephone | 8474581460 |
Practice Fax Number | 8474581942 |
Mailing Telephone | 8474581460 |
Mailing Fax Number | 8474581942 |
Enumeration Date | 2013-03-29 |
Last Update Date | 2013-03-29 |
Authorized Official Name | AMY ADAMS (PRESIDENT) |
Authorized Official Telephone | 4693626909 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
Street Address |
1154 N MAIN ST |
City | ALGONQUIN |
State | IL |
Zip Code | 60102-3482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134121601 | Premier Health Services, Inc. | Clinic/Center | 1154 N Main St, Algonquin, IL 60102-3482 | 2005-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
Find all providers in zip 60102 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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1164969838 | Smart Choice Mri, LLC | Clinic/Center | 850 N Milwaukee Ave Ste 103, Vernon Hills, IL 60061-1553 | 2017-01-19 |
1417491655 | Smart Choice Mri LLC | Clinic/Center | 757 E Boughton Rd, Bolingbrook, IL 60440-2281 | 2016-12-07 |
1205379229 | Fulton Market Mri LLC | Clinic/Center | 559 W Kinzie St, Chicago, IL 60654-5702 | 2016-11-22 |
1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
1104376987 | Smart Choice Mri, LLC | Clinic/Center | 2830 S Highland Ave Unit 9, Lombard, IL 60148-7135 | 2016-10-05 |
1922461664 | Smart Choice Mri, LLC | Clinic/Center | 1850 N Clybourn Ave, Chicago, IL 60614-8048 | 2016-03-31 |
1144695511 | Smart Choice Mri, LLC | Clinic/Center | 3560 Touhy Avenue, Skokie, IL 60076-6218 | 2015-12-10 |
1598130635 | Smart Choice Mri LLC | Clinic/Center | 1406 N Meacham Rd, Schaumburg, IL 60173-4808 | 2015-12-01 |
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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.