Organization Active NPI

PMRC Services, LLC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
National Provider Identifier
1174579197
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PMRC SERVICES, LLC
Doing business as
Parkside Imaging
Practice address
400 Higgins Rd
Park Ridge, IL 60068-5751
Phone
(847) 268-8900
Fax
(847) 268-8241
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Mary M Foote
Title
Administrator
Phone
(847) 696-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

400 Higgins Rd
Park Ridge, IL 60068-5751

Mailing address

1875 Dempster St
Suite G06
Park Ridge, IL 60068-1186
Phone (847) 696-7900

Other names 1

  • Parkside Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

1875 Dempster St
Ste G06
Park Ridge, IL 60068
Phone (847) 696-7900

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174579197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE G06",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-7900",
            "fax_number": "847-692-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685751",
            "telephone_number": "847-268-8900",
            "fax_number": "847-268-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMRC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-696-7900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.