Organization Active NPI

Premier Diagnostic Imaging Services Inc

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1174894539
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMIER DIAGNOSTIC IMAGING SERVICES INC
Practice address
1784 E Oakton St
#113
Des Plaines, IL 60018-2168
Phone
(847) 376-8959
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Jaweed Nawaz
Title
President
Phone
(872) 985-1023

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1784 E Oakton St
#113
Des Plaines, IL 60018-2168

Mailing address

1784 E Oakton St
#113
Des Plaines, IL 60018-2168
Phone (847) 376-8959

National Provider Directory

National Provider Directory

Locations

1784 E Oakton St
Ste 113
Des Plaines, IL 60018
Phone (847) 376-8959

4836 Main St
#109
Skokie, IL 60077
Phone (847) 213-0445

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1174894539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 E OAKTON ST",
            "address_2": "#113",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182168",
            "telephone_number": "847-376-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 E OAKTON ST",
            "address_2": "#113",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182168",
            "telephone_number": "847-376-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "JAWEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-985-1023"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.