Organization Active NPI

Midwest Advanced Radiology Center, LLC

  • Radiology Clinic/Center
  • Lake Barrington, IL
National Provider Identifier
1104263763
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MIDWEST ADVANCED RADIOLOGY CENTER, LLC
Practice address
22285 N Pepper Rd Ste 103
Lake Barrington, IL 60010-2539
Phone
(847) 277-0936
Fax
(847) 277-0945
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Darryl J Saldanha, MD
Title
Director
Phone
(847) 296-5366

Specialties & licenses 2

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

Addresses

Primary practice location

22285 N Pepper Rd Ste 103
Lake Barrington, IL 60010-2539

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (847) 296-5366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1104263763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-296-5366",
            "fax_number": "847-296-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 103",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-277-0936",
            "fax_number": "847-277-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ADVANCED RADIOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-296-5366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.