MBS Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MBS IMAGING LLC

Practice address

1919 S. Highland Avenue
Building 'C' Suite 100
Lombard, IL 60148-6134

Phone

(877) 495-7152

Fax

(877) 495-7208

NPI assigned

Aug 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mirwajid A Shah

Title

Manager

Phone

(630) 613-9590

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Muhammad Ali, MD

  • Internal Medicine Physician
  • Willowbrook, IL
  • NPI 1508898362
  Medicare reassignment Care Compare group NPD
• Junaid N Mansuri, M.D.

  • Diagnostic Radiology Physician
  • Lombard, IL
  • NPI 1063618122
  Medicare reassignment Care Compare group NPD
• Aziz Uddin Ahmed, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1962532044
  Medicare reassignment Care Compare group
• Shahid A Ansari, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1558452474
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1154553253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S. HIGHLAND AVENUE, BUILDING 'C' SUITE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486134",
            "telephone_number": "877-495-7152",
            "fax_number": "877-495-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S. HIGHLAND AVENUE",
            "address_2": "BUILDING 'C' SUITE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486134",
            "telephone_number": "877-495-7152",
            "fax_number": "877-495-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MIRWAJID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-613-9590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaw@mbsimaging.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1919 S. Highland Avenue",
            "address_2": "Building 'C' Suite 100",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601486134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxim Healthcare Services, Inc.
• Megan-Elizabeth A Maybell
• Alexandra Mayo
• Mohammed A Mazher, AO
• Jill Hope Mazzuca, LSW
• MBS Imaging Service LTD
• MBSS Imaging Masters, LLC
• MBSS Mobile, Inc.
• Eva H McCormick, OT
• December McCracken, CCC-SLP

• Mobile Radiology Clinic/Center in Lombard, IL
• Providers in Lombard, 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 May 20, 2022; 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.