Organization Active NPI

Athlete Imaging LLC

  • Radiology Clinic/Center
  • Naperville, IL
National Provider Identifier
1033535521
Registry record updated Mar 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ATHLETE IMAGING LLC
Practice address
2615 Homestead Dr
Naperville, IL 60564-8785
Phone
(847) 571-6063
NPI assigned
Mar 9, 2014
Last updated
Mar 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2014

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

Authorized official

Name
Mr. Shivamurthy Keelara
Title
Owner
Phone
(847) 571-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2615 Homestead Dr
Naperville, IL 60564-8785

Mailing address

2615 Homestead Dr
Naperville, IL 60564-8785

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1033535521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 HOMESTEAD DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HOMESTEAD DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648785",
            "telephone_number": "847-571-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "KEELARA",
        "authorized_official_first_name": "SHIVAMURTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-571-6063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; 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.