NPIMap

Organization Active NPI

Quality Diagnostic Ultrasound, Corp

  • Mobile Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1114117017
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
RDMS 117674
Legal business name
QUALITY DIAGNOSTIC ULTRASOUND, CORP
Practice address
4815 W Belle Plaine Ave Apt 209
Chicago, IL 60641-1841
Phone
(773) 736-1762
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Elzbieta Ostoja, RDMSNPI 1003006099
Title
President
Phone
(773) 736-1762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X RDMS 117674 Primary

Addresses

Primary practice location

4815 W Belle Plaine Ave Apt 209
Chicago, IL 60641-1841

Mailing address

4815 W Belle Plaine Ave Apt 209
Chicago, IL 60641-1841
Phone (773) 736-1762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1114117017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W BELLE PLAINE AVE APT 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411841",
            "telephone_number": "773-736-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W BELLE PLAINE AVE APT 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411841",
            "telephone_number": "773-736-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DIAGNOSTIC ULTRASOUND, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "OSTOJA",
        "authorized_official_first_name": "ELZBIETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-736-1762",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": "RDMS 117674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.