Advanced Vein Treatment and Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

036-099445 Issued in IL

Legal business name

ADVANCED VEIN TREATMENT AND IMAGING CENTER LLC

Practice address

721 W State Route 22
Lake Zurich, IL 60047-2552

Phone

(708) 827-5732

Fax

(708) 827-5742

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amjad Ali Safvi, MDNPI 1093707457

Title

Medical Director

Phone

(708) 827-5732

Specialties & licenses 1

Addresses

Other names 1

• Lake Zurich 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.

• Amjad Ali Safvi, MD

  • Vascular & Interventional Radiology Physician
  • Lake Zurich, IL
  • NPI 1093707457

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1285746487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W IL ROUTE 22",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472552",
            "telephone_number": "708-827-5732",
            "fax_number": "708-827-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W STATE ROUTE 22",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472552",
            "telephone_number": "708-827-5732",
            "fax_number": "708-827-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VEIN TREATMENT AND IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SAFVI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-827-5732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "036-099445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Zurich Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lake Zurich, IL
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.