Organization Active NPI

Complete Diagnostics Inc

  • Radiology Clinic/Center
  • Darien, IL
National Provider Identifier
1104192210
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
COMPLETE DIAGNOSTICS INC
Practice address
8205 Cass Ave Ste 108D
Darien, IL 60561-5319
Phone
(630) 480-4565
Fax
(630) 480-4575
NPI assigned
Mar 23, 2012
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Christopher Chalokwu
Title
Managing Director
Phone
(630) 480-4565

Specialties & licenses 1

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

Addresses

Primary practice location

8205 Cass Ave Ste 108D
Darien, IL 60561-5319

Mailing address

8205 Cass Ave Ste 108D
Darien, IL 60561-5319
Phone (630) 480-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000536 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597913442 Practice locations: Darien, IL

National Provider Directory

National Provider Directory

Locations

8205 Cass Ave
Ste 108D
Darien, IL 60561
Phone (630) 430-4762

120 W Golf Rd
Ste 100A
Schaumburg, IL 60195
Phone (847) 929-4388

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1104192210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 CASS AVE STE 108D",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615319",
            "telephone_number": "630-480-4565",
            "fax_number": "630-480-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 CASS AVE STE 108D",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615319",
            "telephone_number": "630-480-4565",
            "fax_number": "630-480-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "CHALOKWU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "630-480-4565"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.