MBS Imaging Service LTD

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

036.114268 Issued in IL

Legal business name

MBS IMAGING SERVICE LTD

Practice address

1919 S Highland Ave
BLDG 'C' Suite 100
Lombard, IL 60148-6153

Phone

(630) 613-9590

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By 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

Dr. Shah A Alam, MD

Title

Medical Director

Phone

(630) 613-9590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1265855761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE",
            "address_2": "BLDG 'C' SUITE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486153",
            "telephone_number": "630-613-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE",
            "address_2": "BLDG 'C' SUITE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486153",
            "telephone_number": "630-613-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS IMAGING SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "SHAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-613-9590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": "036.114268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan-Elizabeth A Maybell
• Alexandra Mayo
• Mohammed A Mazher, AO
• Jill Hope Mazzuca, LSW
• MBS Imaging LLC
• MBSS Imaging Masters, LLC
• MBSS Mobile, Inc.
• Eva H McCormick, OT
• December McCracken, CCC-SLP
• Rebecca McCullum

• Mobile Radiology Clinic/Center in Lombard, IL
• Providers in Lombard, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.