Organization Active NPI

G.T. Diagnostic Imaging, Inc.

  • Mobile Radiology Clinic/Center
  • Wheeling, IL
National Provider Identifier
1306066519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
G.T. DIAGNOSTIC IMAGING, INC.
Practice address
1344 Horizon TRL
Wheeling, IL 60090-4417
Phone
(847) 537-2666
Fax
(847) 537-2668
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gene Tsinman
Title
Presidnet
Phone
(847) 537-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X IL Primary

Addresses

Primary practice location

1344 Horizon TRL
Wheeling, IL 60090-4417

Mailing address

1344 Horizon Trial
Wheeling, IL 60090
Phone (847) 537-2666

Other identifiers 1

IdentifierTypeStateIssuer
571579901001MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306066519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 HORIZON TRIAL",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-537-2666",
            "fax_number": "847-537-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HORIZON TRL",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904417",
            "telephone_number": "847-537-2666",
            "fax_number": "847-537-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.T. DIAGNOSTIC IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSINMAN",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "847-537-2666"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571579901001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.