Active NPI
Pri Diagnostics, LLC.
- Radiology Clinic/Center
- Chicago, IL
National Provider Identifier
1306873377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 01195492
- Legal business name
- PRI DIAGNOSTICS, LLC.
- Practice address
- 1456 Momentum PL
Chicago, IL 60689-5314 - Phone
- (847) 277-0936
- Fax
- (847) 277-0945
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Erbes
- Title
- Principal
- Phone
- (847) 277-0936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 01195492 | IL | Primary |
Addresses
Primary practice location
1456 Momentum PL
Chicago, IL 60689-5314
Mailing address
22285 Pepper Rd
Lake Barrington, IL 60010
Phone (847) 277-0936
National Provider Directory
National Provider DirectoryLocations
1456 Momentum Pl
Chicago, IL 60689
Phone (847) 277-0936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306873377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22285 PEPPER RD",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-277-0936",
"fax_number": "847-277-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895314",
"telephone_number": "847-277-0936",
"fax_number": "847-277-0945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRI DIAGNOSTICS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ERBES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "847-277-0936",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "IL",
"license": "01195492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, 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.