Active NPI
Scancare Diagnostics LLC
- Mobile Radiology Clinic/Center
- Chicago, IL
National Provider Identifier
1154744654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SCANCARE DIAGNOSTICS LLC
- Practice address
- 1638 W Surf St
Chicago, IL 60657-3599 - Phone
- (800) 695-8191
- NPI assigned
- Feb 4, 2014
- Last updated
- Sep 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Goldstein
- Title
- Owner
- Phone
- (800) 695-8191
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
1638 W Surf St
Chicago, IL 60657-3599
Mailing address
22017 Emily LN
Frankfort, IL 60423-7817
Phone (815) 534-5420
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 61
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1154744654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22017 EMILY LN",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604237817",
"telephone_number": "815-534-5420",
"fax_number": "815-880-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 W SURF ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573599",
"telephone_number": "800-695-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCANCARE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-04",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-695-8191",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"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 Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.