Medical Imaging Specialists Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MEDICAL IMAGING SPECIALISTS INC

Practice address

9944 S Roberts Rd Ste 106
Palos Hills, IL 60465-1555

Phone

(312) 604-5099

NPI assigned

Jun 12, 2019

Last updated

Jun 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad Hussein

Title

Ceo

Phone

(219) 588-0892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063071082. Details of each certification follow.

• CCN 14X0009885 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 14X0009885

Legal name

MEDICAL IMAGING SPECIALISTS, INC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Sep 7, 2018

Last certification

Sep 7, 2018

Ownership / control type

Individual

Facility address

9944 S Roberts Road, Suite 106
Palos Hills, IL 60465

Tax ID family

Medical Imaging Specialist Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Imaging Specialist Inc

  • Mobile Radiology Clinic/Center
  • Palos Hills, IL
  • NPI 1447813787
  NPD tax ID
• Medical Imaging Specialist Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palos Hills, IL
  • NPI 1699282145
  NPD tax ID

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1063071082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 106",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 106",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555",
            "telephone_number": "312-604-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-588-0892"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.