Envision Mobile Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

ENVISION MOBILE IMAGING, LLC

Practice address

800 Austin St
Evanston, IL 60202-3439

Phone

(312) 515-0289

NPI assigned

Jun 18, 2017

Last updated

Jun 18, 2017By 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

Marcello P Paolella

Title

Owner

Phone

(312) 515-0289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1073043469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "312-515-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "PAOLELLA",
        "authorized_official_first_name": "MARCELLO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-515-0289"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ila Englof, M.D.
• Samuel Engman, DO
• Enn Healing Arts PLLC
• Michele J Enos, LCSW
• Elizabeth Enterkin
• Chukwuemeka James Enwezor, MD
• Kelley Louise Enzweiler, DNP
• Marina Louise Eovaldi, PH.D.
• Rachel Sarah Epstein
• Cristina Epure, MD

• Mobile Radiology Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.