Medlife Diagnostic Services, Inc

Primary specialty

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

Legal business name

MEDLIFE DIAGNOSTIC SERVICES, INC

Practice address

8892 Louisiana St Ste B
Merrillville, IN 46410-7153

Phone

(219) 769-1900

Fax

(219) 769-1300

NPI assigned

Feb 8, 2013

Organization subpart

No

Name

Afroz Lateef

Title

President

Phone

(773) 539-4100

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2018.

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1245579341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-539-4100",
            "fax_number": "773-539-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8892 LOUISIANA ST STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107153",
            "telephone_number": "219-769-1900",
            "fax_number": "219-769-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "AFROZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-539-4100"
    },
    "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": []
}

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• All providers in Merrillville, IN
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.