Organization Active NPI

Premiere Imaging and Open MRI Inc

  • Radiology Clinic/Center
  • Burbank, IL
National Provider Identifier
1275906927
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PREMIERE IMAGING AND OPEN MRI INC
Practice address
5600 W 87TH St Ste 4
Burbank, IL 60459-2902
Phone
(708) 634-3570
Fax
(708) 634-3760
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Elsa Vargas
Title
Director
Phone
(708) 952-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

5600 W 87TH St Ste 4
Burbank, IL 60459-2902

Mailing address

5600 W 87TH St Ste 4
Burbank, IL 60459-2902
Phone (708) 634-3570

Other names 1

  • Premiere Imaging and Open MRI INC Doing business as

National Provider Directory

National Provider Directory

Locations

5600 W 87th St
Unit 4
Burbank, IL 60459
Phone (708) 634-3570

5600 W 87th St
Ste 4
Burbank, IL 60459
Phone (708) 634-3570

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1275906927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST STE 4",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-634-3570",
            "fax_number": "708-634-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST STE 4",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-634-3570",
            "fax_number": "708-634-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE IMAGING AND OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-952-0000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Imaging and Open MRI INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premiere Imaging and Open MRI INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.