Speed Imaging LLC

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

111990 Issued in IL

Legal business name

SPEED IMAGING LLC

Practice address

1263 S Highland Ave Ste 2D
Lombard, IL 60148-4527

Phone

(630) 814-9911

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Mohammed A Ashfaq

Title

Mr

Phone

(630) 656-1455

Specialties & licenses 4

Addresses

Other names 1

• Speed Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Joseph Nemours Carre, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1821090622
  NPD
• Alan Jackson, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1144398520
  NPD

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1295077188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 S HIGHLAND AVE STE 2D",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484527",
            "telephone_number": "630-814-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 S HIGHLAND AVE STE 2D",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484527",
            "telephone_number": "630-814-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Roosevelt Rd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376031",
            "country_code": "US",
            "telephone_number": "630-656-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEED IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ASHFAQ",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MR",
        "authorized_official_telephone_number": "630-656-1455"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IL",
            "license": "111990",
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "IL",
            "license": "034872",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "IL",
            "license": "111990",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speed Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sonography Specialist/Technologist Cardiovascular in Lombard, IL
• Providers in Lombard, IL by specialty
• Sonography Specialist/Technologist Cardiovascular in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.