Medco Diagnostic Imaging Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MEDCO DIAGNOSTIC IMAGING INC

Practice address

900 E Diehl Road
Suite 141
Naperville, IL 60563-2391

Phone

(630) 245-9970

Fax

(630) 245-9974

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joe Anthony Geraci

Title

President

Phone

(630) 245-9970

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kantilal Chandarana, M.D.

  • Diagnostic Radiology Physician
  • Plainfield, IL
  • NPI 1063404580
  NPD (past)
• George G. Kuritza, M.D.

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1164423687
  NPD (past)
• Mohammad Ashraf Toor, MD

  • Cardiovascular Disease Physician
  • New Lenox, IL
  • NPI 1841289691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1003969841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E DIEHL ROAD",
            "address_2": "SUITE 141",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632391",
            "telephone_number": "630-245-9970",
            "fax_number": "630-245-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DIEHL ROAD",
            "address_2": "SUITE 141",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632391",
            "telephone_number": "630-245-9970",
            "fax_number": "630-245-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GERACI",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-245-9970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2219737",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300119392",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Naperville, IL
• Providers in Naperville, IL by specialty
• Physiological Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.