Evergreen Mobile Imaging, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

EVERGREEN MOBILE IMAGING, INC

Practice address

799 Roosevelt Rd
BLDG#3, Suite#005
Glen Ellyn, IL 60137-5908

Phone

(630) 790-3644

NPI assigned

Nov 2, 2006

Last updated

Sep 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohammed A Aleem

Title

President

Phone

(630) 790-3644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1245319219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD",
            "address_2": "BLDG#3, SUITE#005",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-790-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 ROOSEVELT RD",
            "address_2": "BLDG#3, SUITE#005",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375908",
            "telephone_number": "630-790-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MOBILE IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "ALEEM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-790-3644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Esposito, DMD
• Erik Esquivel
• Kelsey Estry
• Evanson Behavioral Health LLC
• Evergreen Mobile Imaging, Inc
• Evolution Studios, Inc. Dba Evolution Counseling Services
• Mikaela Fahey
• Carolyn Joyce Faivre, MS, LCPC
• Rebecca Farrell
• Carol M Fate, LCSW

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.