Spectrum Diagnostic Imaging Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SPECTRUM DIAGNOSTIC IMAGING INC

Practice address

3140 Finley Rd Ste B
Suite B
Downers Grove, IL 60515-1154

Phone

(630) 395-9233

Fax

(630) 395-9428

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Farah Shaista

Title

President

Phone

(630) 362-6064

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1285875690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE B",
            "address_2": "SUITE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151154",
            "telephone_number": "630-395-9233",
            "fax_number": "630-395-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE B",
            "address_2": "SUITE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151154",
            "telephone_number": "630-395-9233",
            "fax_number": "630-395-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAISTA",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-362-6064"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, 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 Jan 26, 2012; 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.