Belleville Diagnostic Center, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

BELLEVILLE DIAGNOSTIC CENTER, LLC

Practice address

7 Christopher Dr
Belleville, IL 62226-5958

Phone

(618) 416-7977

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Syed Haider

Title

Ceo

Phone

(618) 416-7977

Specialties & licenses 1

Addresses

Other names 1

• Belleville Open MRI Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mazhar H Lakho, MD

  • Internal Medicine Physician
  • Fairview Heights, IL
  • NPI 1811997380
  NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1275947756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHRISTOPHER DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265958",
            "telephone_number": "618-416-7977",
            "fax_number": "618-416-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHRISTOPHER DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265958",
            "telephone_number": "618-416-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-416-7977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belleville Open MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belleville Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belleville Area Special Services Cooperative
• Belleville Area Special Services Cooperative
• Belleville Behavioral Health & Nursing Center LLC
• Belleville Dental Care
• Belleville Dental Center
• Belleville Emergency Physicians, P.C.
• Belleville Endoscopy
• Belleville Endoscopy Anesthesia
• Belleville Endoscopy LLC
• Belleville Family Medical Associates, LTD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Belleville, IL
• Providers in Belleville, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.