Central States Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CENTRAL STATES IMAGING LLC

Practice address

4 Cedar Ridge Drive
Suite D
Lake in the Hills, IL 60156

Phone

(847) 458-6736

Fax

(847) 458-6700

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Susan C Holman

Title

Special Assistant Secretary

Phone

(952) 513-6831

Specialties & licenses 1

Addresses

Other names 1

• RAYUS RADIOLOGY Doing business as

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1245283266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "address_2": "NW5710",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554855710",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CEDAR RIDGE DRIVE",
            "address_2": "SUITE D",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-458-6736",
            "fax_number": "847-458-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-513-6831"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard L Carron, D.D.S.
• Jordaizn Castanos, FNP-BC
• Haydee Castelo
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• Joel Luna Ceralde, FNP-C
• Maureen Chambers, LPC
• Chicago Hearing LLC
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• Chiropractic Family Health Clinic LH LLC

• Diagnostic Radiology Physician in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.