LAK IMAGING INC (NPI# 1821023391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821023391 |
| Entity Type | Organization |
| Organization Name | LAK IMAGING INC |
| Practice Address |
1829 N Cleveland Ave Unit C Chicago IL 60614-5273 |
| Practice Telephone | 3124828730 |
| Practice Fax Number | 7739358087 |
| Mailing Telephone | 3124828730 |
| Mailing Fax Number | 7739358087 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARISSA KOULIEV (PRESIDENT) |
| Authorized Official Telephone | 3124828730 |
| Authorized Official Credential | RDMS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
RDMS 95906 | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS RADIOLOGY ULTRASOUND | 01632794 | 01 |
| Street Address |
1829 N CLEVELAND AVE UNIT C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-5273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1568652428 | Polsono Mobile Ultrasound, P.C. | Radiologic Technologist | 1030 N State St Apt 17h, Chicago, IL 60610-5492 | 2007-07-27 |
| 1689727471 | Northshore Imaging Company | Radiologic Technologist | 7455 N Western Ave, Chicago, IL 60645-1735 | 2007-01-18 |
| 1184783359 | Focus Diagnostic Ultrasound Inc | Radiologic Technologist | 3848 N Plainfield Ave, Chicago, IL 60634-1921 | 2006-12-06 |
| 1013012681 | Division Medical & Diagnostics Inc | Radiologic Technologist | 4913 W Fullerton Ave, Chicago, IL 60639-2505 | 2006-09-14 |
| 1083982052 | Daisy Oms LLC | Radiologic Technologist | 53 W Jackson Blvd, Suite 1337, Chicago, IL 60604-3606 | 2011-12-06 |
| 1578652897 | Maria Teresa Davila | Radiologic Technologist | 1725 W Harrison St, Suite 408, Chicago, IL 60612 | 2006-10-12 |
| 1174626634 | Carol Ann Gil Ramos | Radiologic Technologist | 1725 W Harrison St, #408; Women's Health Consultants, Chicago, IL 60612 | 2006-09-07 |
| 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.