Specialty Diagnostic Services, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPECIALTY DIAGNOSTIC SERVICES, LLC

Practice address

114 W Rockland Rd Ste 1
Libertyville, IL 60048-2774

Phone

(847) 784-9700

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Ray Ekbatani

Title

Managing Member

Phone

(847) 784-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1316261969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD STE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482774",
            "telephone_number": "847-784-9700",
            "fax_number": "847-784-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD STE 1",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482774",
            "telephone_number": "847-784-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "EKBATANI",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-784-9700"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jie Song, M.D.
• Anshuman Soni, DDS
• Wilfred E Soppe, CRNA
• Marta Pedziwiatr Speakman, DDS
• Brittany Spear, LPC, NCC
• Speech Path LTD
• Melvin Speisman, MD
• Adriana Marie Spellman, M.D.
• Bonnie Lee Spina, L.AC.
• Aaron Spivey

• Diagnostic Radiology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.